Indiana
Professional Licensing Agency
WADE BUSH ANSHUTZ JR
Controlled Substance Registration - Dentist
License number
12004635B
Date granted
11/30/1984
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1223 OHIO STREET, TERRE HAUTE IN 47807
indianalicensing.org
ID 5125426
LAST UPDATED 2024-04-22 12:21:48 UTC
LAST UPDATED 2024-04-22 12:21:48 UTC
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