Indiana
Professional Licensing Agency
RICHARD J BIRMINGHAM
Controlled Substance Registration - Dentist
License number
12005521B
Date granted
04/30/1986
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1017 EAST DUBAIL STREET, SOUTH BEND IN 46613
indianalicensing.org
ID 5123414
LAST UPDATED 2024-02-26 00:28:03 UTC
LAST UPDATED 2024-02-26 00:28:03 UTC
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