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 2024-02-07 17:18:37 UTC
LAST UPDATED 2024-02-07 17:18:37 UTC
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