Indiana
Professional Licensing Agency
James Robert Agan
Controlled Substance Registration - Dentist
License number
12008361B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
200 GRANDVIEW DRIVE, Salem IN 47167
indianalicensing.org
ID 5121185
LAST UPDATED 2024-02-15 13:38:11 UTC
LAST UPDATED 2024-02-15 13:38:11 UTC
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