Indiana
Professional Licensing Agency
William R. Farnsworth
Controlled Substance Registration - Dentist
License number
12012098B
Date granted
04/29/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Oral Surgery Group, 550 W. Virginia St., Evansville IN 47710
indianalicensing.org
ID 27545544
LAST UPDATED 2024-04-19 06:57:24 UTC
LAST UPDATED 2024-04-19 06:57:24 UTC
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