Indiana
Professional Licensing Agency
Dane Edward Wallsmith
Controlled Substance Registration - Dentist
License number
12007395B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3415 South Lafountain Street, Kokomo IN 46902
indianalicensing.org
ID 5106288
LAST UPDATED 2024-03-19 01:13:32 UTC
LAST UPDATED 2024-03-19 01:13:32 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.