Indiana
Professional Licensing Agency
Todd Patrick Briscoe
Controlled Substance Registration - Dentist
License number
12008679B
Date granted
07/14/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7833 Saint Joe Center Road, Fort Wayne IN 46835-9505
indianalicensing.org
ID 5096332
LAST UPDATED 2024-03-20 12:42:16 UTC
LAST UPDATED 2024-03-20 12:42:16 UTC
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