Indiana
Professional Licensing Agency
Phillip Murray Bly
Controlled Substance Registration - Dentist
License number
12007762B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7126 N SHADELAND SUITE B, INDIANAPOLIS IN 46250
indianalicensing.org
ID 5103927
LAST UPDATED 2024-02-21 16:00:39 UTC
LAST UPDATED 2024-02-21 16:00:39 UTC
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