Brian Paul Tate
Controlled Substance Registration - Dentist
Indiana 12009788C Active
This Indiana license is held by Brian Paul Tate. The license is currently active. It was granted on 02/02/2005 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009788C
- Category: CSR-Dentist
- Status: Active
- Date Granted: 02/02/2005 (over 20 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
Kokomo Endodontics, 112 East Alto Road, Kokomo IN 46902
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