Indiana
Professional Licensing Agency
DONALD MAX LECKLITNER
Controlled Substance Registration - Dentist
License number
12005562B
Date granted
05/31/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2011 KOSSUTH STREET, LAFAYETTE IN 47905
indianalicensing.org
ID 5107429
LAST UPDATED 2024-02-05 23:49:42 UTC
LAST UPDATED 2024-02-05 23:49:42 UTC
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