Indiana
Professional Licensing Agency
Tyler J. Richey
Controlled Substance Registration - Dentist
License number
12012114B
Date granted
05/15/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4949 E. Poplar St., Terre Haute IN 47802
indianalicensing.org
ID 27546079
LAST UPDATED 2024-02-21 06:38:25 UTC
LAST UPDATED 2024-02-21 06:38:25 UTC
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