License holder summary

Thomas A Bunner is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Thomas A Bunner is 8717 Crestfield Court, Fort Wayne IN 46835-9655. This licensed professional license is current. The license was granted 07/25/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Thomas A Bunner
Controlled Substance Registration - Dentist
License number
12008775B
Date granted
07/25/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8717 Crestfield Court, Fort Wayne IN 46835-9655
indianalicensing.org
ID 5096094
LAST UPDATED 2024-04-19 00:34:44 UTC

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