Indiana
Professional Licensing Agency
Gerald Warrell
Controlled Substance Registration - Dentist
License number
12008047B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2314 MIAMI STREET, SOUTH BEND IN 46614
indianalicensing.org
ID 5122999
LAST UPDATED 2024-03-08 09:42:47 UTC
LAST UPDATED 2024-03-08 09:42:47 UTC
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