Indiana
Professional Licensing Agency
George Robert Cooper
Controlled Substance Registration - Dentist
License number
12008379B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2121 EAST DUPONT RD SUITE E, FORT WAYNE IN 46845
indianalicensing.org
ID 5094696
LAST UPDATED 2024-04-05 23:29:58 UTC
LAST UPDATED 2024-04-05 23:29:58 UTC
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