License holder summary

ALBOURNE LONG is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for ALBOURNE LONG is 401 DIXIE HIGHWAY NORTH, SOUTH BEND IN 46637. This licensed professional license is not current. The license was granted 05/31/1984 and expired on 05/31/1985.

Indiana

Professional Licensing Agency

ALBOURNE LONG
Controlled Substance Registration - Dentist
License number
12004800B
Date granted
05/31/1984
Date expires
05/31/1985
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
401 DIXIE HIGHWAY NORTH, SOUTH BEND IN 46637
indianalicensing.org
ID 5122681
LAST UPDATED 2024-03-01 05:47:19 UTC

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