Indiana
Professional Licensing Agency
David M. Buksar
Controlled Substance Registration - Dentist
License number
12009906B
Date granted
11/18/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Southway Family Dentistry, 3745 S. Madison St., Muncie IN 47302
indianalicensing.org
ID 5110304
LAST UPDATED 2024-02-05 22:31:42 UTC
LAST UPDATED 2024-02-05 22:31:42 UTC
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