License holder summary

John Robert Davidson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for John Robert Davidson is 27 NORTH PARK AVENUE, PERU IN 46970. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

John Robert Davidson
Controlled Substance Registration - Dentist
License number
12007226B
Date granted
07/31/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
27 NORTH PARK AVENUE, PERU IN 46970
indianalicensing.org
ID 5118299
LAST UPDATED 2024-02-12 15:00:53 UTC

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