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 2024-02-07 16:02:01 UTC
LAST UPDATED 2024-02-07 16:02:01 UTC
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