Indiana
Professional Licensing Agency
Gavin Charles Rothrock
Controlled Substance Registration - Dentist
License number
12010759B
Date granted
09/01/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Pritchard / Jastremski Dental Associates, LLC, 2215 S. Curry Pike, Bloomington IN 47403
indianalicensing.org
ID 5082988
LAST UPDATED 2024-03-30 09:54:27 UTC
LAST UPDATED 2024-03-30 09:54:27 UTC
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