Indiana
Professional Licensing Agency
Clifford T. Salk
Controlled Substance Registration - Dentist
License number
12006043B
Date granted
01/31/1981
Date expires
01/31/1982
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1118 SOUTH CALHOUN ST, FORT WAYNE IN 46802
indianalicensing.org
ID 5094318
LAST UPDATED 2024-02-10 14:31:58 UTC
LAST UPDATED 2024-02-10 14:31:58 UTC
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