Indiana
Professional Licensing Agency
David Lee Carlson
Controlled Substance Registration - Dentist
License number
12010337B
Date granted
06/29/2001
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Neighborhood Health Clinics Inc, 1717 South Calhoun, Fort Wayne IN 46802-5257
indianalicensing.org
ID 5094461
LAST UPDATED 2024-02-10 23:19:34 UTC
LAST UPDATED 2024-02-10 23:19:34 UTC
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