License holder summary

David Matthew Fairchild is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for David Matthew Fairchild is ELKHART ORAL AND MAXILLOFACIAL SURGERY, 117 SOUTH NAPPANEE STREET, Elkhart IN 46514. This licensed professional license is current. The license was granted 07/31/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

David Matthew Fairchild
Controlled Substance Registration - Dentist
License number
12007600B
Date granted
07/31/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
ELKHART ORAL AND MAXILLOFACIAL SURGERY, 117 SOUTH NAPPANEE STREET, Elkhart IN 46514
indianalicensing.org
ID 5090616
LAST UPDATED 2021-12-07 19:46:59 UTC

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