License holder summary

Gwendolyn Ann Edmondson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Gwendolyn Ann Edmondson is Midtown Dental PC, 2703 Broadway, Fort Wayne IN 46807. This licensed professional license is current. The license was granted 09/18/1987 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Gwendolyn Ann Edmondson
Controlled Substance Registration - Dentist
License number
12008899B
Date granted
09/18/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Midtown Dental PC, 2703 Broadway, Fort Wayne IN 46807
indianalicensing.org
ID 5094811
LAST UPDATED 2024-02-22 15:13:48 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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