Indiana
Professional Licensing Agency
Lee Bennett Davis
Controlled Substance Registration - Dentist
License number
12007981B
Date granted
09/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
12110 West County Road 550 South, Daleville IN 47334-9717
indianalicensing.org
ID 5089201
LAST UPDATED 2024-04-13 13:42:00 UTC
LAST UPDATED 2024-04-13 13:42:00 UTC
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