License holder summary

Gregory Alan Crawford is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Gregory Alan Crawford is 4116 East State Boulevard, Fort Wayne IN 46815-6911. This licensed professional license is current. The license was granted 04/30/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Gregory Alan Crawford
Controlled Substance Registration - Dentist
License number
12006931B
Date granted
04/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4116 East State Boulevard, Fort Wayne IN 46815-6911
indianalicensing.org
ID 5094774
LAST UPDATED 2024-04-11 10:40:48 UTC

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