Indiana
Professional Licensing Agency
David Brian Coates
Controlled Substance Registration - Dentist
License number
12008777B
Date granted
09/17/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2204 Scott Street, Lafayette IN 47904
indianalicensing.org
ID 5107394
LAST UPDATED 2024-03-26 16:53:37 UTC
LAST UPDATED 2024-03-26 16:53:37 UTC
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