Indiana
Professional Licensing Agency
Robert D. Lucus
Controlled Substance Registration - Dentist
License number
12006620B
Date granted
05/31/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Surrendered
Address
6211 North College Avenue, Indianapolis IN 46220
indianalicensing.org
ID 5104129
LAST UPDATED 2024-04-18 15:36:16 UTC
LAST UPDATED 2024-04-18 15:36:16 UTC
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