Indiana
Professional Licensing Agency
WILSON EARL PRENTICE
Controlled Substance Registration - Dentist
License number
12004252B
Date granted
07/05/1939
Date expires
12/31/1984
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
GREENTREE MALL, JEFFERSONVILLE IN, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5105604
LAST UPDATED 2024-03-17 13:01:55 UTC
LAST UPDATED 2024-03-17 13:01:55 UTC
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