Indiana
Professional Licensing Agency
David Alton Bleeke
Controlled Substance Registration - Dentist
License number
12006082B
Date granted
04/30/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4606 E STATE BLVD, FORT WAYNE IN 46815
indianalicensing.org
ID 5094419
LAST UPDATED 2024-02-25 09:36:44 UTC
LAST UPDATED 2024-02-25 09:36:44 UTC
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