Indiana
Professional Licensing Agency
Robert J. Bour
Controlled Substance Registration - Dentist
License number
12008677B
Date granted
07/23/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3423 South LaFountain Street, Kokomo IN 46902-3856
indianalicensing.org
ID 5106830
LAST UPDATED 2024-02-16 15:10:39 UTC
LAST UPDATED 2024-02-16 15:10:39 UTC
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