License holder summary

David James Storm is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for David James Storm is 1324 BROADWAY, GARY IN 46407. This licensed professional license is not current. The license was granted 11/22/1995 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

David James Storm
Controlled Substance Registration - Dentist
License number
12009823B
Date granted
11/22/1995
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1324 BROADWAY, GARY IN 46407
indianalicensing.org
ID 5097511
LAST UPDATED 2024-02-28 05:28:28 UTC

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