Robert William Long
Controlled Substance Registration - Dentist
Indiana 12010170B Active
This Indiana license is held by Robert William Long. The license is currently active. It was granted on 11/05/1999 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010170B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 11/05/1999 (over 25 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
2705 South Berkley Road, Suite 2B, Kokomo IN 46902-8007
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