Indiana
Professional Licensing Agency
Farrell Layne Simmerman
Controlled Substance Registration - Dentist
License number
12008145B
Date granted
08/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
150 Professional Court, Suite B, Lafayette IN 47905
indianalicensing.org
ID 5107510
LAST UPDATED 2024-04-05 05:38:53 UTC
LAST UPDATED 2024-04-05 05:38:53 UTC
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