Indiana
Professional Licensing Agency
Larry Don Roberts
Controlled Substance Registration - Dentist
License number
12007058B
Date granted
12/31/1985
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
415 Waterfall Drive, Suite A, Elkhart IN 46516
indianalicensing.org
ID 5090824
LAST UPDATED 2024-04-05 09:02:07 UTC
LAST UPDATED 2024-04-05 09:02:07 UTC
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