License holder summary

Dirk M. Donovan is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Dirk M. Donovan is 275 U.S. Rte 30, Ste #200, Dyer IN 46311. This licensed professional license is not current. The license was granted 08/04/2004 and expired on 03/01/2008.

Indiana

Professional Licensing Agency

Dirk M. Donovan
Controlled Substance Registration - Dentist
License number
12010653B
Date granted
08/04/2004
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
275 U.S. Rte 30, Ste #200, Dyer IN 46311
indianalicensing.org
ID 5089934
LAST UPDATED 2024-04-12 17:26:56 UTC

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