Indiana
Professional Licensing Agency
Gregory Alan Crawford
Controlled Substance Registration - Dentist
License number
12006931B
Date granted
04/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4116 East State Boulevard, Fort Wayne IN 46815-6911
indianalicensing.org
ID 5094774
LAST UPDATED 2024-03-07 23:15:08 UTC
LAST UPDATED 2024-03-07 23:15:08 UTC
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