Indiana
Professional Licensing Agency
Philip J. Eversman
Controlled Substance Registration - Dentist
License number
12007232B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5055 East U.S. 36, Suite 101, Avon IN 46123-9160
indianalicensing.org
ID 5082085
LAST UPDATED 2024-03-22 21:39:41 UTC
LAST UPDATED 2024-03-22 21:39:41 UTC
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