Indiana
Professional Licensing Agency
David P. Regan
Controlled Substance Registration - Dentist
License number
12010372B
Date granted
07/03/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1004 Spring Arbor Drive, Middlebury IN 46540
indianalicensing.org
ID 5112071
LAST UPDATED 2024-01-21 23:42:47 UTC
LAST UPDATED 2024-01-21 23:42:47 UTC
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