Indiana
Professional Licensing Agency
John L. Wiles
Controlled Substance Registration - Dentist
License number
12010080B
Date granted
08/11/1998
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
200 Conrad Harcourt Way, Rushville IN 46173
indianalicensing.org
ID 5120732
LAST UPDATED 2024-03-07 23:05:29 UTC
LAST UPDATED 2024-03-07 23:05:29 UTC
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