License holder summary

Gordon Bausman is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Gordon Bausman is 545 Park Avenue, Rensselaer IN 47978. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Gordon Bausman
Controlled Substance Registration - Dentist
License number
12007571B
Date granted
09/30/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
545 Park Avenue, Rensselaer IN 47978
indianalicensing.org
ID 5119542
LAST UPDATED 2024-03-11 17:58:36 UTC

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