Indiana
Professional Licensing Agency
Jeffrey Scott Burden
Controlled Substance Registration - Dentist
License number
12010402B
Date granted
11/02/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1100 College Avenue, Goshen IN 46526-4922
indianalicensing.org
ID 5097952
LAST UPDATED 2024-04-16 21:58:29 UTC
LAST UPDATED 2024-04-16 21:58:29 UTC
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