Indiana
Professional Licensing Agency
Wayne Merrill Gilmore
Controlled Substance Registration - Dentist
License number
12008839B
Date granted
10/24/1986
Date expires
03/01/1990
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4656 West Jefferson, #285, Fort Wayne IN 46804
indianalicensing.org
ID 5096492
LAST UPDATED 2024-02-28 00:35:42 UTC
LAST UPDATED 2024-02-28 00:35:42 UTC
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