Indiana
Professional Licensing Agency
Charles J. Durham
Controlled Substance Registration - Dentist
License number
12006254B
Date granted
10/31/1985
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
410 South Chestnut, Seymour IN 47274
indianalicensing.org
ID 5121869
LAST UPDATED 2024-01-27 05:32:20 UTC
LAST UPDATED 2024-01-27 05:32:20 UTC
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