Indiana
Professional Licensing Agency
Richard Scott Gillum
Controlled Substance Registration - Dentist
License number
12008573B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1259 North State Road 135, Suite E, Greenwood IN 46142
indianalicensing.org
ID 5099431
LAST UPDATED 2024-04-09 20:17:17 UTC
LAST UPDATED 2024-04-09 20:17:17 UTC
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