Indiana
Professional Licensing Agency
William Conrad Gillig
Controlled Substance Registration - Dentist
License number
12005550B
Date granted
12/31/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4604 Merriam Park Drive, Fort Wayne IN 46816-3205
indianalicensing.org
ID 5096477
LAST UPDATED 2026-06-08 09:17:43 UTC
LAST UPDATED 2026-06-08 09:17:43 UTC
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