Bradley Richard Swanson
Controlled Substance Registration - Dentist
Indiana 12010670B Active
This Indiana license is held by Bradley Richard Swanson. The license is currently active. It was granted on 07/13/2004 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010670B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 07/13/2004 (about 22 years ago)
- Expiry Date: 03/01/2016 (over 10 years ago)
LOCATIONS
A Address
54505 26th Street, Unit E, South Bend IN 46614
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