Indiana
Professional Licensing Agency
Gregory Butler
Controlled Substance Registration - Dentist
License number
12012219B
Date granted
10/31/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
919 Florence Ave., Fort Wayne IN 46806
indianalicensing.org
ID 27545579
LAST UPDATED 2024-05-03 16:25:40 UTC
LAST UPDATED 2024-05-03 16:25:40 UTC
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