Indiana
Professional Licensing Agency
William B. Gillette
Controlled Substance Registration - Dentist
License number
12007210B
Date granted
01/22/1990
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
DENTAL SERVICE V A MED CENTER, 1481 WEST 10TH STREET #160, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5104868
LAST UPDATED 2024-02-27 16:23:27 UTC
LAST UPDATED 2024-02-27 16:23:27 UTC
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