Indiana
Professional Licensing Agency
Joshua Blue Davis
Controlled Substance Registration - Dentist
License number
12010826B
Date granted
07/21/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2909 Buick Cadillac Boulevard, Bloomington IN 47401
indianalicensing.org
ID 5083220
LAST UPDATED 2024-03-17 05:08:19 UTC
LAST UPDATED 2024-03-17 05:08:19 UTC
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