Indiana
Professional Licensing Agency
Daniel Paul Myers
Controlled Substance Registration - Dentist
License number
12010752B
Date granted
07/08/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Manchester Family Dentistry, Inc., 1301 State Rd. 13 West, North Manchester IN 46962
indianalicensing.org
ID 5117026
LAST UPDATED 2024-05-02 06:20:31 UTC
LAST UPDATED 2024-05-02 06:20:31 UTC
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