License holder summary

DEAN M BRUBAKER is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for DEAN M BRUBAKER is SHIPSHEWANNA CENTER MALL, STATE HIGHWAY 5 SOUTH, SHIPSHEWANA IN 46565. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 03/01/1990.

Indiana

Professional Licensing Agency

DEAN M BRUBAKER
Controlled Substance Registration - Dentist
License number
12004993B
Date granted
04/30/1986
Date expires
03/01/1990
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
SHIPSHEWANNA CENTER MALL, STATE HIGHWAY 5 SOUTH, SHIPSHEWANA IN 46565
indianalicensing.org
ID 5122403
LAST UPDATED 2024-02-17 16:35:40 UTC

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