Brian Paul Tate
Controlled Substance Registration - Dentist
Indiana 12009788B Expired
This Indiana license was held by Brian Paul Tate. The license is no longer active. It was granted on 07/19/1995 and expired on 03/01/2000
LICENSE DETAILS
- License Number: 12009788B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 07/19/1995 (about 31 years ago)
- Expiry Date: 03/01/2000 (over 26 years ago)
LOCATIONS
A Address
705 WALNUT ST D, INDIANAPOLIS IN 46202