Indiana
Professional Licensing Agency
Wade Bush Anshutz
Controlled Substance Registration - Dentist
License number
12007681B
Date granted
10/31/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1223 Ohio St., Terre Haute IN 47807
indianalicensing.org
ID 5125411
LAST UPDATED 2024-04-13 05:53:17 UTC
LAST UPDATED 2024-04-13 05:53:17 UTC
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