Indiana
Professional Licensing Agency
Gary Karl Gonzenbach
Controlled Substance Registration - Dentist
License number
12007240B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3280 Middle Road, Columbus IN 47203
indianalicensing.org
ID 5087737
LAST UPDATED 2024-03-04 05:31:51 UTC
LAST UPDATED 2024-03-04 05:31:51 UTC
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