License holder summary

Phillip Murray Bly is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Phillip Murray Bly is 7126 N SHADELAND SUITE B, INDIANAPOLIS IN 46250. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

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

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