Indiana
Professional Licensing Agency
George Hibler Guerrant
Controlled Substance Registration - Dentist
License number
12010773B
Date granted
09/23/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Affiliated Family Dentists, 605 W. Douglas Road, Mishawaka IN 46545
indianalicensing.org
ID 5112443
LAST UPDATED 2024-04-05 10:24:40 UTC
LAST UPDATED 2024-04-05 10:24:40 UTC
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