License holder summary

J ROBERT DAVIS is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for J ROBERT DAVIS is 303 S MAIN ST, MISHAWAKA, IN 46544. This licensed professional license is not current. The license was granted 10/31/1985 and expired on 10/31/1986.

Indiana

Professional Licensing Agency

J ROBERT DAVIS
Controlled Substance Registration - Dentist
License number
12004224B
Date granted
10/31/1985
Date expires
10/31/1986
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
303 S MAIN ST, MISHAWAKA, IN 46544
indianalicensing.org
ID 5112494
LAST UPDATED 2024-02-27 22:15:09 UTC

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