Indiana
Professional Licensing Agency
David Austin Detterline
Controlled Substance Registration - Dentist
License number
12010870B
Date granted
06/30/2006
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
South Street Family Dental, 103 N Farabee Dr, Lafayette IN 47905
indianalicensing.org
ID 5107389
LAST UPDATED 2026-04-29 10:07:36 UTC
LAST UPDATED 2026-04-29 10:07:36 UTC
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