License holder summary

Edwin Thomas Parks is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Edwin Thomas Parks is INDIANA UNIVERSITY SCHOOL OF DENTISTRY, 1121 W MICHIGAN ST ROOM S 109, INDIANAPOLIS IN 46202. This licensed professional license is not current. The license was granted 04/20/1993 and expired on 03/01/1996.

Indiana

Professional Licensing Agency

Edwin Thomas Parks
Controlled Substance Registration - Dentist
License number
12009393C
Date granted
04/20/1993
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
INDIANA UNIVERSITY SCHOOL OF DENTISTRY, 1121 W MICHIGAN ST ROOM S 109, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5102267
LAST UPDATED 2024-03-29 17:24:43 UTC

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