License holder summary

Dan Eugene Faulk is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Dan Eugene Faulk is Indiana Oral and Maxillofacial Surgery Associates, 8102 Kingston Street, Suite 400, Avon IN 46123-9594. This licensed professional license is not current. The license was granted 03/11/2008 and expired on 03/01/2010.

Indiana

Board of Licensing

Dan Eugene Faulk
Controlled Substance Registration - Dentist
License number
12008292D
Date granted
03/11/2008
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Indiana Oral and Maxillofacial Surgery Associates, 8102 Kingston Street, Suite 400, Avon IN 46123-9594
indianalicensing.org
ID 22437760
LAST UPDATED 2021-01-24 14:52:13 UTC

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