Indiana
Professional Licensing Agency
Claude E. Willis, Jr.
Controlled Substance Registration - Dentist
License number
12006990B
Date granted
09/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6052 South 500W, 5938 West State Road 135, Trafalgar IN 46181
indianalicensing.org
ID 5125559
LAST UPDATED 2024-04-02 22:00:43 UTC
LAST UPDATED 2024-04-02 22:00:43 UTC
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