Indiana
Professional Licensing Agency
Charles Wesley Magnuson
Controlled Substance Registration - Dentist
License number
12008114B
Date granted
11/30/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1331 Chimes Blvd., South Bend IN 46615
indianalicensing.org
ID 5122745
LAST UPDATED 2024-03-19 23:11:25 UTC
LAST UPDATED 2024-03-19 23:11:25 UTC
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