Indiana
Professional Licensing Agency
Gary William Bardonner
Controlled Substance Registration - Dentist
License number
12007317B
Date granted
09/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
940 NORTH STATE STREET, GREENFIELD IN 46140
indianalicensing.org
ID 5098694
LAST UPDATED 2024-03-05 10:05:23 UTC
LAST UPDATED 2024-03-05 10:05:23 UTC
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