Indiana
Professional Licensing Agency
Justin David Brown
Controlled Substance Registration - Dentist
License number
12010988B
Date granted
06/13/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5 West Logan Street, Peru IN 46970
indianalicensing.org
ID 5118293
LAST UPDATED 2024-03-16 16:27:24 UTC
LAST UPDATED 2024-03-16 16:27:24 UTC
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