Indiana
Professional Licensing Agency
NOBLE HOLLAND SEVIER
Controlled Substance Registration - Dentist
License number
12004443B
Date granted
01/31/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
LAKESIDE WEST, R R #3 BOX 437, SULLIVAN IN 47882
indianalicensing.org
ID 5124151
LAST UPDATED 2024-03-31 04:36:21 UTC
LAST UPDATED 2024-03-31 04:36:21 UTC
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