Indiana
Professional Licensing Agency
EMMETT TULLY
Controlled Substance Registration - Dentist
License number
12003726B
Date granted
06/30/1986
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4050 SPANISH TRAIL, FORT WAYNE IN 46815
indianalicensing.org
ID 5094625
LAST UPDATED 2024-04-20 18:09:19 UTC
LAST UPDATED 2024-04-20 18:09:19 UTC
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