Indiana
Professional Licensing Agency
Gerald D. Enlow
Controlled Substance Registration - Dentist
License number
12009814B
Date granted
10/11/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8070 Park Place, Newburgh IN 47630-3041
indianalicensing.org
ID 5116387
LAST UPDATED 2024-02-08 06:04:33 UTC
LAST UPDATED 2024-02-08 06:04:33 UTC
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