Indiana
Professional Licensing Agency
Laurence I. Carlsen, Jr.
Controlled Substance Registration - Dentist
License number
12006356B
Date granted
09/10/1985
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
313 D SOUTH BERKLEY ROAD, KOKOMO IN 46901
indianalicensing.org
ID 5106580
LAST UPDATED 2024-02-14 17:00:09 UTC
LAST UPDATED 2024-02-14 17:00:09 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.