License holder summary

IRMA E RUMBAUGH is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for IRMA E RUMBAUGH is 4207 LAKE AVENUE, FORT WAYNE IN 46815. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

IRMA E RUMBAUGH
Controlled Substance Registration - Dentist
License number
12005249B
Date granted
08/31/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4207 LAKE AVENUE, FORT WAYNE IN 46815
indianalicensing.org
ID 5094861
LAST UPDATED 2024-04-10 20:46:13 UTC

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