Indiana
Professional Licensing Agency
Gene Allen Stutsman
Controlled Substance Registration - Dentist
License number
12007181B
Date granted
07/06/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1801 CHARLTON COURT, Goshen IN 46526
indianalicensing.org
ID 5098077
LAST UPDATED 2024-03-03 07:54:24 UTC
LAST UPDATED 2024-03-03 07:54:24 UTC
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