License holder summary

David Lee Carlson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for David Lee Carlson is Neighborhood Health Clinics Inc, 1717 South Calhoun, Fort Wayne IN 46802-5257. This licensed professional license is not current. The license was granted 06/29/2001 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

David Lee Carlson
Controlled Substance Registration - Dentist
License number
12010337B
Date granted
06/29/2001
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Neighborhood Health Clinics Inc, 1717 South Calhoun, Fort Wayne IN 46802-5257
indianalicensing.org
ID 5094461
LAST UPDATED 2024-04-09 09:25:16 UTC

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