License holder summary

David L Burns is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for David L Burns is 4616 W JEFFERSON BLVD, FORT WAYNE IN 46804. This licensed professional license is current. The license was granted 09/16/1999 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

David L Burns
Controlled Substance Registration - Dentist
License number
12007220B
Date granted
09/16/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4616 W JEFFERSON BLVD, FORT WAYNE IN 46804
indianalicensing.org
ID 5094458
LAST UPDATED 2024-02-18 11:40:26 UTC

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