License holder summary

Scott E. Tate is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Scott E. Tate is Bloomington Oral & Maxillofacial Surgery Group, P.C., 637 South Walker Street, Suite 1, Bloomington IN 47403-2154. This licensed professional license is current. The license was granted 05/05/2004 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Scott E. Tate
Controlled Substance Registration - Dentist
License number
12010196B
Date granted
05/05/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Bloomington Oral & Maxillofacial Surgery Group, P.C., 637 South Walker Street, Suite 1, Bloomington IN 47403-2154
indianalicensing.org
ID 5083513
LAST UPDATED 2024-02-21 01:00:22 UTC

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