Indiana
Professional Licensing Agency
Carrie Ellen Pumphrey
Controlled Substance Registration - Dentist
License number
12010371B
Date granted
07/03/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1600 EAST STATE ROAD 44, Shelbyville IN 46176
indianalicensing.org
ID 5122094
LAST UPDATED 2024-04-21 08:22:12 UTC
LAST UPDATED 2024-04-21 08:22:12 UTC
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