Gavin Charles Rothrock

Controlled Substance Registration - Dentist

Indiana  12010759B   Active

This Indiana license is held by Gavin Charles Rothrock. The license is currently active. It was granted on 09/01/2005 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12010759B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 09/01/2005 (almost 20 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

Pritchard / Jastremski Dental Associates, LLC, 2215 S. Curry Pike, Bloomington IN 47403