License holder summary

Larry Lloyd Graham is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Larry Lloyd Graham is 1612 N BALDWIN AVE, MARION IN 46952. This licensed professional license is not current. The license was granted 04/08/1996 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

Larry Lloyd Graham
Controlled Substance Registration - Dentist
License number
12006195C
Date granted
04/08/1996
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1612 N BALDWIN AVE, MARION IN 46952
indianalicensing.org
ID 5110185
LAST UPDATED 2024-01-24 23:56:18 UTC

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