Indiana
Professional Licensing Agency
Todd Mitchell Whitlock
Controlled Substance Registration - Dentist
License number
12009170B
Date granted
07/21/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3671 S. Sare Rd., Bloomington IN 47401
indianalicensing.org
ID 5083603
LAST UPDATED 2024-04-15 01:55:11 UTC
LAST UPDATED 2024-04-15 01:55:11 UTC
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