Indiana
Professional Licensing Agency
Timothy Daniel Gibson
Controlled Substance Registration - Dentist
License number
12009564B
Date granted
07/14/1993
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1713 East 10th Street, Jeffersonville IN 47130
indianalicensing.org
ID 5105548
LAST UPDATED 2026-06-02 17:44:12 UTC
LAST UPDATED 2026-06-02 17:44:12 UTC
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