Indiana
Professional Licensing Agency
Lynn R. Bowen
Controlled Substance Registration - Dentist
License number
12008550B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
210 West South Street, Lagrange IN 46761
indianalicensing.org
ID 5108043
LAST UPDATED 2024-03-03 12:33:43 UTC
LAST UPDATED 2024-03-03 12:33:43 UTC
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