Indiana
Professional Licensing Agency
Daniel Philip Urban
Controlled Substance Registration - Dentist
License number
12005794B
Date granted
09/30/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2930 Little River Run, Fort Wayne IN 46804
indianalicensing.org
ID 5094442
LAST UPDATED 2024-03-22 06:58:38 UTC
LAST UPDATED 2024-03-22 06:58:38 UTC
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