Bret Mitchell Ford

Controlled Substance Registration - Dentist

Indiana  12009861B   Expired

This Indiana license was held by Bret Mitchell Ford. The license is no longer active. It was granted on 07/09/1996 and expired on 03/01/1998

LICENSE DETAILS

  • License Number: 12009861B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 07/09/1996 (about 30 years ago)
  • Expiry Date: 03/01/1998 (over 28 years ago)

LOCATIONS

A Address

1030 COUNTRY CLUB ROAD, INDIANAPOLIS IN 46234