Brian Taylor Lee

Controlled Substance Registration - Dentist

Indiana  12011751B   Active

This Indiana license is held by Brian Taylor Lee. The license is currently active. It was granted on 01/16/2012 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12011751B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 01/16/2012 (over 13 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

1105 Clifty Drive, Madison IN 47250