Indiana
Professional Licensing Agency
George H. J. Bullard
Controlled Substance Registration - Dentist
License number
12010299B
Date granted
07/29/2002
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
SOUTH BEND CHILDREN'S DENTISTRY, 103 SOUTH EDDY ST, South Bend IN 46617
indianalicensing.org
ID 5122961
LAST UPDATED 2026-07-12 22:09:10 UTC
LAST UPDATED 2026-07-12 22:09:10 UTC
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