Indiana
Professional Licensing Agency
David George Slyby
Controlled Substance Registration - Dentist
License number
12010192B
Date granted
12/28/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
East State Professional Park, 4606 East State Boulevard, Suite B, Fort Wayne IN 46815-6993
indianalicensing.org
ID 5094444
LAST UPDATED 2024-02-07 18:41:12 UTC
LAST UPDATED 2024-02-07 18:41:12 UTC
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