Indiana
Professional Licensing Agency
George W. Surguy
Controlled Substance Registration - Dentist
License number
12008621B
Date granted
11/30/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
521 East Monroe Street, South Bend IN 46601-2325
indianalicensing.org
ID 5122974
LAST UPDATED 2024-03-22 15:24:16 UTC
LAST UPDATED 2024-03-22 15:24:16 UTC
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