License holder summary

Roger Wayne Richardson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Roger Wayne Richardson is Medical Arts Building, 1366 North Garner Street PO Box 330, Scottsburg IN 47170-7793. This licensed professional license is not current. The license was granted 12/10/1999 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Roger Wayne Richardson
Controlled Substance Registration - Dentist
License number
12010235B
Date granted
12/10/1999
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Medical Arts Building, 1366 North Garner Street PO Box 330, Scottsburg IN 47170-7793
indianalicensing.org
ID 5121675
LAST UPDATED 2024-02-14 01:04:01 UTC

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