License holder summary

Dwane Richard Bruick is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Dwane Richard Bruick is 6405 Georgetown North Boulevard, Fort Wayne IN 46815. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Dwane Richard Bruick
Controlled Substance Registration - Dentist
License number
12008370B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6405 Georgetown North Boulevard, Fort Wayne IN 46815
indianalicensing.org
ID 5094583
LAST UPDATED 2024-03-19 23:18:14 UTC

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