Indiana
Professional Licensing Agency
Adam Douglas Clock
Controlled Substance Registration - Dentist
License number
12010542B
Date granted
01/31/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
530 Plaza Dr. Suite J, Columbus IN 47201-2940
indianalicensing.org
ID 5087589
LAST UPDATED 2026-04-14 09:15:31 UTC
LAST UPDATED 2026-04-14 09:15:31 UTC
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