Indiana
Professional Licensing Agency
David K. Tabereaux
Controlled Substance Registration - Dentist
License number
12007527B
Date granted
06/30/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
857 Auto Mall Road, Bloomington IN 47401
indianalicensing.org
ID 5082922
LAST UPDATED 2024-02-18 01:01:38 UTC
LAST UPDATED 2024-02-18 01:01:38 UTC
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