License holder summary

Cristene A. Carlson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Cristene A. Carlson is 11518 TRAILS NORTH, FORT WAYNE IN 46825. This licensed professional license is not current. The license was granted 07/14/1983 and expired on 10/31/1984.

Indiana

Professional Licensing Agency

Cristene A. Carlson
Controlled Substance Registration - Dentist
License number
12008271B
Date granted
07/14/1983
Date expires
10/31/1984
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
11518 TRAILS NORTH, FORT WAYNE IN 46825
indianalicensing.org
ID 5094364
LAST UPDATED 2024-02-09 06:14:25 UTC

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