License holder summary

David Michael Follis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for David Michael Follis is Indiana Health Center, Inc, 1901 #B Western Avenue, South Bend IN 46619. This licensed professional license is current. The license was granted 07/16/2004 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

David Michael Follis
Controlled Substance Registration - Dentist
License number
12010354B
Date granted
07/16/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Indiana Health Center, Inc, 1901 #B Western Avenue, South Bend IN 46619
indianalicensing.org
ID 5122825
LAST UPDATED 2024-04-22 14:25:08 UTC

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