License holder summary

Park Lewis Firebaugh is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Park Lewis Firebaugh is 819 East Franklin Street, Greencastle IN 46135-1407. This licensed professional license is current. The license was granted 07/10/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Park Lewis Firebaugh
Controlled Substance Registration - Dentist
License number
12008692B
Date granted
07/10/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
819 East Franklin Street, Greencastle IN 46135-1407
indianalicensing.org
ID 5098676
LAST UPDATED 2024-04-07 01:43:54 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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