License holder summary

David J. Bristow is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for David J. Bristow is P.O. Box 36, 1304 Park Meadow Drive, Beech Grove IN 46107-1967. This licensed professional license is not current. The license was granted 01/21/1994 and expired on 03/01/2008.

Indiana

Professional Licensing Agency

David J. Bristow
Controlled Substance Registration - Dentist
License number
12006824B
Date granted
01/21/1994
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
P.O. Box 36, 1304 Park Meadow Drive, Beech Grove IN 46107-1967
indianalicensing.org
ID 5082480
LAST UPDATED 2024-05-02 01:44:16 UTC

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