License holder summary

Bruce Gavin Bales is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Bruce Gavin Bales is 871 EAST WASHINGTON STREET, P O BOX 505, WINCHESTER IN 47394. This licensed professional license is not current. The license was granted 11/09/1989 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

Bruce Gavin Bales
Controlled Substance Registration - Dentist
License number
12009184B
Date granted
11/09/1989
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
871 EAST WASHINGTON STREET, P O BOX 505, WINCHESTER IN 47394
indianalicensing.org
ID 5128400
LAST UPDATED 2024-02-23 17:44:16 UTC

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