License holder summary

ALLY NEVILLE BURKS is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for ALLY NEVILLE BURKS is 3760 WEST 96TH STREET, INDIANAPOLIS IN 46268. This licensed professional license is not current. The license was granted 04/30/1983 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

ALLY NEVILLE BURKS
Controlled Substance Registration - Dentist
License number
12004366B
Date granted
04/30/1983
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3760 WEST 96TH STREET, INDIANAPOLIS IN 46268
indianalicensing.org
ID 5101500
LAST UPDATED 2024-02-16 22:23:53 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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