Indiana
Professional Licensing Agency
Evan Gene Long
Controlled Substance Registration - Dentist
License number
12007488B
Date granted
08/31/1986
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
7863 BROADWAY, MERRILLVILLE IN 46410
indianalicensing.org
ID 5110856
LAST UPDATED 2024-02-24 04:55:02 UTC
LAST UPDATED 2024-02-24 04:55:02 UTC
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