Blake Aaron Taylor

Controlled Substance Registration - Dentist

Indiana  12010644B   Active

This Indiana license is held by Blake Aaron Taylor. The license is currently active. It was granted on 06/29/2004 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12010644B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 06/29/2004 (almost 21 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

James Taylor DDS & Associates Inc., 234 N. 1st Street, Decatur IN 46733