License holder summary

Larry Gene Walker is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Larry Gene Walker is EAST STATE DENTAL CARE, 2828 EAST STATE BOULEVARD, Fort Wayne IN 46805. This licensed professional license is not current. The license was granted 08/03/1999 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

Larry Gene Walker
Controlled Substance Registration - Dentist
License number
12007562D
Date granted
08/03/1999
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
EAST STATE DENTAL CARE, 2828 EAST STATE BOULEVARD, Fort Wayne IN 46805
indianalicensing.org
ID 5095229
LAST UPDATED 2021-09-11 16:14:54 UTC

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