License holder summary

Thomas Franklin Pequignot is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Thomas Franklin Pequignot is 11017 Bittersweet Dells Lane, Fort Wayne IN 46814. This licensed professional license is current. The license was granted 12/31/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Thomas Franklin Pequignot
Controlled Substance Registration - Dentist
License number
12006420B
Date granted
12/31/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
11017 Bittersweet Dells Lane, Fort Wayne IN 46814
indianalicensing.org
ID 5096104
LAST UPDATED 2024-03-04 00:54:03 UTC

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