Indiana
Professional Licensing Agency
Chad G Stutsman
Controlled Substance Registration - Dentist
License number
12010385B
Date granted
07/05/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1801 Charlton Court, Goshen IN 46526-6464
indianalicensing.org
ID 5097884
LAST UPDATED 2024-04-07 09:20:15 UTC
LAST UPDATED 2024-04-07 09:20:15 UTC
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