Indiana
Professional Licensing Agency
John Randall Roberts
Controlled Substance Registration - Dentist
License number
12008137B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
724 North Grand Avenue, Connersville IN 47331
indianalicensing.org
ID 5088238
LAST UPDATED 2024-02-25 08:03:06 UTC
LAST UPDATED 2024-02-25 08:03:06 UTC
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