License holder summary

David Allen Blaine is a Dentist licensed to practice in Indiana. The address on file for David Allen Blaine is Fishers IN 46038. This licensed professional license is current. The license was granted 06/23/1970 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

David Allen Blaine
Dentist
License number
12006688A
Date granted
06/23/1970
Date expires
03/01/2016
Class
Dentist
Status
Active
Address
Fishers IN 46038
indianalicensing.org
ID 5283358
LAST UPDATED 2024-03-04 04:28:22 UTC

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