License holder summary

David J. Henderson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for David J. Henderson is 857 AUTO MALL ROAD #5, BLOOMINGTON IN 47401. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

David J. Henderson
Controlled Substance Registration - Dentist
License number
12007864B
Date granted
06/30/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
857 AUTO MALL ROAD #5, BLOOMINGTON IN 47401
indianalicensing.org
ID 5082891
LAST UPDATED 2024-04-12 01:02:09 UTC

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