Indiana
Professional Licensing Agency
Martin T. Barco, III
Controlled Substance Registration - Dentist
License number
12011246B
Date granted
12/05/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
219 East 17th Street, Bloomington IN 47408
indianalicensing.org
ID 5083301
LAST UPDATED 2024-04-09 10:59:20 UTC
LAST UPDATED 2024-04-09 10:59:20 UTC
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