Indiana
Professional Licensing Agency
Dane Kent Logan
Controlled Substance Registration - Dentist
License number
12007715B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
23603 Jeb Drive, Lawrenceburg IN 47025
indianalicensing.org
ID 5108293
LAST UPDATED 2024-03-28 20:29:22 UTC
LAST UPDATED 2024-03-28 20:29:22 UTC
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