License holder summary

CLYDE JAMES COURTICE is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for CLYDE JAMES COURTICE is 109 BROADWAY, CEDAR LAKE, IN 46303. This licensed professional license is not current. The license was granted 11/30/1984 and expired on 11/30/1984.

Indiana

Professional Licensing Agency

CLYDE JAMES COURTICE
Controlled Substance Registration - Dentist
License number
12004182B
Date granted
11/30/1984
Date expires
11/30/1984
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
109 BROADWAY, CEDAR LAKE, IN 46303
indianalicensing.org
ID 5086151
LAST UPDATED 2024-03-02 02:27:45 UTC

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