License holder summary

Adam Douglas Clock is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Adam Douglas Clock is 530 Plaza Dr. Suite J, Columbus IN 47201-2940. This licensed professional license is current. The license was granted 01/31/2006 and expired on 03/01/2016.

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 2024-02-20 16:55:38 UTC

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