Indiana
Professional Licensing Agency
James Brent Crossen
Controlled Substance Registration - Dentist
License number
12006091C
Date granted
04/30/1985
Date expires
04/30/1985
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4618 E STATE BLVD #360, FORT WAYNE IN 46815
indianalicensing.org
ID 5094901
LAST UPDATED 2024-03-06 16:15:01 UTC
LAST UPDATED 2024-03-06 16:15:01 UTC
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