Indiana
Professional Licensing Agency
Garrett David Gast
Controlled Substance Registration - Dentist
License number
12011547B
Date granted
10/20/2010
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Afdent, 605 West Douglas Road, Mishawaka IN 46545-1438
indianalicensing.org
ID 5112425
LAST UPDATED 2024-02-20 09:05:54 UTC
LAST UPDATED 2024-02-20 09:05:54 UTC
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