Indiana
Professional Licensing Agency
Donna J.R. Carter
Controlled Substance Registration - Dentist
License number
12009283B
Date granted
07/19/1990
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2423 SOUTH CALHOUN STREET, FORT WAYNE IN 46807
indianalicensing.org
ID 5094650
LAST UPDATED 2024-04-06 17:05:05 UTC
LAST UPDATED 2024-04-06 17:05:05 UTC
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