Indiana
Professional Licensing Agency
Clarence E. Deane, Jr.
Controlled Substance Registration - Dentist
License number
12007406B
Date granted
11/30/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
12010 EDEN GLEN DRIVE, CARMEL IN 46033
indianalicensing.org
ID 5085343
LAST UPDATED 2024-04-21 17:37:49 UTC
LAST UPDATED 2024-04-21 17:37:49 UTC
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