Indiana
Professional Licensing Agency
Phil Paul Guba
Controlled Substance Registration - Dentist
License number
12008790B
Date granted
07/16/1986
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
44 Yorkshire Blvd. East, Indianapolis IN 46229-4223
indianalicensing.org
ID 5103895
LAST UPDATED 2024-02-09 03:20:39 UTC
LAST UPDATED 2024-02-09 03:20:39 UTC
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