Brent Thomas Garrison
Controlled Substance Registration - Dentist
Indiana 12007989D Expired
This Indiana license was held by Brent Thomas Garrison. The license is no longer active. It was granted on 07/08/1994 and expired on 03/01/2004
LICENSE DETAILS
- License Number: 12007989D
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 07/08/1994 (almost 31 years ago)
- Expiry Date: 03/01/2004 (about 21 years ago)
LOCATIONS
A Address
SOUTHPORT ORAL & MAXILLOFACIAL SURGERY, 8325 S EMERSON AVE SUITE C-1, Indianapolis IN 46237