License holder summary

David Michael Brilliandt is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for David Michael Brilliandt is 220 Bloomingdale Drive, Bristol IN 46507. This licensed professional license is current. The license was granted 02/28/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

David Michael Brilliandt
Controlled Substance Registration - Dentist
License number
12008553B
Date granted
02/28/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
220 Bloomingdale Drive, Bristol IN 46507
indianalicensing.org
ID 5084115
LAST UPDATED 2024-03-26 13:04:44 UTC

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