Indiana
Professional Licensing Agency
Bryan Robert Marr
Controlled Substance Registration - Dentist
License number
12011685B
Date granted
06/22/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Glassy Dental Group, 5108 North Clinton Street, Fort Wayne IN 46825
indianalicensing.org
ID 5094234
LAST UPDATED 2024-02-09 07:30:38 UTC
LAST UPDATED 2024-02-09 07:30:38 UTC
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