License holder summary

DAVID LEONARD DETAMORE is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for DAVID LEONARD DETAMORE is 105 JEFFERSON CENTRE SUITE 516, SOUTH BEND IN 46601. This licensed professional license is not current. The license was granted 10/31/1986 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

DAVID LEONARD DETAMORE
Controlled Substance Registration - Dentist
License number
12005106B
Date granted
10/31/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
105 JEFFERSON CENTRE SUITE 516, SOUTH BEND IN 46601
indianalicensing.org
ID 5122827
LAST UPDATED 2024-03-07 21:01:25 UTC

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