Indiana
Professional Licensing Agency
George Campbell Mansfield
Controlled Substance Registration - Dentist
License number
12010240B
Date granted
02/22/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
201 West Tipton Steet, Seymour IN 47274-2345
indianalicensing.org
ID 5121889
LAST UPDATED 2024-04-06 12:35:03 UTC
LAST UPDATED 2024-04-06 12:35:03 UTC
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