License holder summary

Clifford Wilson Fiscus, II is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Clifford Wilson Fiscus, II is I U S D, 2828 EAST STATE STREET, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 10/19/1998 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

Clifford Wilson Fiscus, II
Controlled Substance Registration - Dentist
License number
12010106B
Date granted
10/19/1998
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
I U S D, 2828 EAST STATE STREET, FORT WAYNE IN 46805
indianalicensing.org
ID 5094341
LAST UPDATED 2024-03-18 03:01:12 UTC

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