Indiana
Professional Licensing Agency
John Blake Thompson
Controlled Substance Registration - Dentist
License number
12008827B
Date granted
08/04/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
225 Fairview Blvd., Kendallville IN 46755
indianalicensing.org
ID 5105673
LAST UPDATED 2024-04-08 21:24:30 UTC
LAST UPDATED 2024-04-08 21:24:30 UTC
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