Indiana
Professional Licensing Agency
J. Cameron Newby
Controlled Substance Registration - Dentist
License number
12006317B
Date granted
06/30/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4116 EAST STATE BOULEVARD, FORT WAYNE IN 46815
indianalicensing.org
ID 5094866
LAST UPDATED 2026-05-23 06:17:16 UTC
LAST UPDATED 2026-05-23 06:17:16 UTC
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