Indiana
Professional Licensing Agency
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 5081877
LAST UPDATED 2024-03-26 21:49:40 UTC
LAST UPDATED 2024-03-26 21:49:40 UTC
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