Indiana
Professional Licensing Agency
RANDALL C NELSON
Controlled Substance Registration - Dentist
License number
12008128B
Date granted
07/31/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3517 EAST BROADLANDS AVENUE, TERRE HAUTE IN 47805
indianalicensing.org
ID 5125252
LAST UPDATED 2024-02-22 06:59:47 UTC
LAST UPDATED 2024-02-22 06:59:47 UTC
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