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 2024-03-07 20:12:47 UTC
LAST UPDATED 2024-03-07 20:12:47 UTC
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