Indiana
Professional Licensing Agency
David Matthew Allen
Controlled Substance Registration - Dentist
License number
12008539B
Date granted
09/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4041 Parnell Avenue, Fort Wayne IN 46805-1413
indianalicensing.org
ID 5094478
LAST UPDATED 2024-03-17 15:33:14 UTC
LAST UPDATED 2024-03-17 15:33:14 UTC
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