Indiana
Professional Licensing Agency
John Russell Eastman
Controlled Substance Registration - Dentist
License number
12007147B
Date granted
04/30/1987
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4901 Weir Drive, Muncie IN 47304-6135
indianalicensing.org
ID 5114126
LAST UPDATED 2024-02-03 23:06:14 UTC
LAST UPDATED 2024-02-03 23:06:14 UTC
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