Indiana
Professional Licensing Agency
Larry Gordon Phillips
Controlled Substance Registration - Dentist
License number
12011077B
Date granted
11/02/2007
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Kid's Dentistry / Mortenson Family Dental, 2441 State Street, New Albany IN 47150
indianalicensing.org
ID 5115415
LAST UPDATED 2024-03-08 21:23:32 UTC
LAST UPDATED 2024-03-08 21:23:32 UTC
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