Indiana
Professional Licensing Agency
Richard Russell Burt
Controlled Substance Registration - Dentist
License number
12011642B
Date granted
06/13/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
White River Dental Care, 2890 West White River Boulevard, Muncie IN 47304
indianalicensing.org
ID 5114281
LAST UPDATED 2024-04-17 01:38:26 UTC
LAST UPDATED 2024-04-17 01:38:26 UTC
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