License holder summary

Frederick Leo Sputh is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Frederick Leo Sputh is 2501 Cason Street, Lafayette IN 47904. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

Frederick Leo Sputh
Controlled Substance Registration - Dentist
License number
12007520B
Date granted
06/30/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2501 Cason Street, Lafayette IN 47904
indianalicensing.org
ID 5107479
LAST UPDATED 2024-04-16 11:37:47 UTC

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