License holder summary

Larry Gene Payne is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Larry Gene Payne is 605 S. Wayne St., Waterloo IN 46793. This licensed professional license is current. The license was granted 08/26/1987 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Larry Gene Payne
Controlled Substance Registration - Dentist
License number
12008602B
Date granted
08/26/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
605 S. Wayne St., Waterloo IN 46793
indianalicensing.org
ID 5127497
LAST UPDATED 2024-03-10 06:16:16 UTC

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