Indiana
Professional Licensing Agency
Robert James Witham
Controlled Substance Registration - Dentist
License number
12005952B
Date granted
09/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5470 Lafayette Road, Indianapolis IN 46254-1620
indianalicensing.org
ID 5104224
LAST UPDATED 2024-02-15 04:16:51 UTC
LAST UPDATED 2024-02-15 04:16:51 UTC
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