Indiana
Professional Licensing Agency
David A. Bossard
Controlled Substance Registration - Dentist
License number
12007841B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
884 West Jefferson Street, Franklin IN 46131
indianalicensing.org
ID 5096872
LAST UPDATED 2024-05-10 03:37:24 UTC
LAST UPDATED 2024-05-10 03:37:24 UTC
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