Indiana
Professional Licensing Agency
Frederick Larsen
Controlled Substance Registration - Dentist
License number
12007686B
Date granted
06/19/1991
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Suspended
Address
110 E VAN TREES ST, WASHINGTON IN 47501
indianalicensing.org
ID 5127450
LAST UPDATED 2024-02-28 06:25:00 UTC
LAST UPDATED 2024-02-28 06:25:00 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.