Indiana
Professional Licensing Agency
Guthrie Poorman Carr
Controlled Substance Registration - Dentist
License number
12008891B
Date granted
07/10/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4900 U. S. 231 South, Lafayette IN 47905
indianalicensing.org
ID 5107498
LAST UPDATED 2024-04-24 16:41:24 UTC
LAST UPDATED 2024-04-24 16:41:24 UTC
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