Indiana
Professional Licensing Agency
HAROLD MAXWELL CROCKETT
Controlled Substance Registration - Dentist
License number
12004101B
Date granted
07/07/1936
Date expires
06/30/1985
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
445 N PENN, ROOM 702, INDIANAPOLIS IN 46204
indianalicensing.org
ID 5102497
LAST UPDATED 2024-04-11 20:58:30 UTC
LAST UPDATED 2024-04-11 20:58:30 UTC
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