Indiana
Professional Licensing Agency
David E. Taylor
Controlled Substance Registration - Dentist
License number
12010951B
Date granted
10/16/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1490 Old State Road 64, New Salisbury IN 47161
indianalicensing.org
ID 5116178
LAST UPDATED 2024-02-11 08:11:08 UTC
LAST UPDATED 2024-02-11 08:11:08 UTC
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