Indiana
Professional Licensing Agency
David William Dormans
Controlled Substance Registration - Dentist
License number
12008565B
Date granted
05/27/1987
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1816 Forest Park Blvd., Fort Wayne IN 46805
indianalicensing.org
ID 5094512
LAST UPDATED 2024-02-07 03:24:36 UTC
LAST UPDATED 2024-02-07 03:24:36 UTC
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