Indiana
Professional Licensing Agency
Baron Victor Whateley
Controlled Substance Registration - Dentist
License number
12007960B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3030 Lake Avenue, Suite 15, Fort Wayne IN 46805
indianalicensing.org
ID 5094147
LAST UPDATED 2024-01-30 03:46:43 UTC
LAST UPDATED 2024-01-30 03:46:43 UTC
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