Scott E. Tate

Controlled Substance Registration - Dentist

Indiana  12010196B   Active

This Indiana license is held by Scott E. Tate. The license is currently active. It was granted on 05/05/2004 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12010196B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 05/05/2004 (about 20 years ago)
  • Expiry Date: 03/01/2016 (about 8 years ago)

LOCATIONS

A Address

Bloomington Oral & Maxillofacial Surgery Group, P.C., 637 South Walker Street, Suite 1, Bloomington IN 47403-2154