Indiana
Professional Licensing Agency
Thomas Gene Magnuson
Controlled Substance Registration - Dentist
License number
12010309B
Date granted
04/25/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4550 SOUTH IRONWOOD DRIVE, South Bend IN 46614
indianalicensing.org
ID 5123674
LAST UPDATED 2024-04-29 16:16:58 UTC
LAST UPDATED 2024-04-29 16:16:58 UTC
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