Indiana
Professional Licensing Agency
David Bryce Clark
Controlled Substance Registration - Dentist
License number
12008231B
Date granted
10/28/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1530 S Miller Street, Shelbyville IN 46176
indianalicensing.org
ID 5122152
LAST UPDATED 2024-02-10 22:42:37 UTC
LAST UPDATED 2024-02-10 22:42:37 UTC
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