Indiana
Professional Licensing Agency
Charles Ellison Bend
Controlled Substance Registration - Dentist
License number
12006052B
Date granted
04/30/1986
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
209 SOUTH CALUMET ROAD, CHESTERTON IN 46304
indianalicensing.org
ID 5086443
LAST UPDATED 2024-04-30 17:03:34 UTC
LAST UPDATED 2024-04-30 17:03:34 UTC
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