Indiana
Professional Licensing Agency
David C. Vandersall
Controlled Substance Registration - Dentist
License number
12007698B
Date granted
07/31/1986
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
8801 N. Meridian Street #103, Indianapolis IN 46260
indianalicensing.org
ID 5101961
LAST UPDATED 2024-02-21 23:34:01 UTC
LAST UPDATED 2024-02-21 23:34:01 UTC
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