Indiana
Professional Licensing Agency
Emery John Spisak, Jr.
Controlled Substance Registration - Dentist
License number
12006332B
Date granted
06/30/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1320 Medical Park Drive, Fort Wayne IN 46825
indianalicensing.org
ID 5094617
LAST UPDATED 2024-04-20 15:22:00 UTC
LAST UPDATED 2024-04-20 15:22:00 UTC
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