License holder summary

Robert Evans Wall is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Robert Evans Wall is 753 WEST MAIN STREET, MADISON IN 47250. This licensed professional license is current. The license was granted 04/30/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Robert Evans Wall
Controlled Substance Registration - Dentist
License number
12007187B
Date granted
04/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
753 WEST MAIN STREET, MADISON IN 47250
indianalicensing.org
ID 5109731
LAST UPDATED 2024-04-02 16:45:14 UTC

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