Indiana
Professional Licensing Agency
Jason K. Bunch
Controlled Substance Registration - Dentist
License number
12010651B
Date granted
06/22/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
14555 Hazel Dell Pkwy. Ste #140, Carmel IN 46033
indianalicensing.org
ID 5085533
LAST UPDATED 2024-02-06 15:56:19 UTC
LAST UPDATED 2024-02-06 15:56:19 UTC
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