Indiana
Professional Licensing Agency
William Bruce Poulsen
Controlled Substance Registration - Dentist
License number
12010129B
Date granted
06/23/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2709 Washington Avenue, Evansville IN 47714-2411
indianalicensing.org
ID 5092978
LAST UPDATED 2024-03-17 10:23:57 UTC
LAST UPDATED 2024-03-17 10:23:57 UTC
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