License holder summary

Gay M. Derderian is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Gay M. Derderian is INDIANA UNIV SCH OF DENTISTRY, 1121 W MICHIGAN ST, INDIANAPOLIS IN 46202. This licensed professional license is not current. The license was granted 08/26/1991 and expired on 03/01/1998.

Indiana

Professional Licensing Agency

Gay M. Derderian
Controlled Substance Registration - Dentist
License number
12009392B
Date granted
08/26/1991
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
INDIANA UNIV SCH OF DENTISTRY, 1121 W MICHIGAN ST, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5102355
LAST UPDATED 2024-03-04 08:18:08 UTC

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