License holder summary

LAURENCE ALLEN GRAY is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for LAURENCE ALLEN GRAY is 3010 E STATE BLVD, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 03/01/1998.

Indiana

Professional Licensing Agency

LAURENCE ALLEN GRAY
Controlled Substance Registration - Dentist
License number
12005487B
Date granted
12/31/1985
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3010 E STATE BLVD, FORT WAYNE IN 46805
indianalicensing.org
ID 5095269
LAST UPDATED 2024-04-09 06:53:41 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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