WADE BUSH ANSHUTZ JR
Controlled Substance Registration - Dentist
Indiana 12004635B Expired
This Indiana license was held by WADE BUSH ANSHUTZ JR. The license is no longer active. It was granted on 11/30/1984 and expired on 03/01/1996
LICENSE DETAILS
- License Number: 12004635B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 11/30/1984 (over 40 years ago)
- Expiry Date: 03/01/1996 (about 29 years ago)
LOCATIONS
A Address
1223 OHIO STREET, TERRE HAUTE IN 47807