Indiana
Professional Licensing Agency
Lawrence Binkley Lanham
Controlled Substance Registration - Dentist
License number
12009540B
Date granted
09/15/1993
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
RANDOLPH K SHOUP DDS, 9855 CROSS POINT BLVD #144, INDIANAPOLIS IN 46256
indianalicensing.org
ID 5103355
LAST UPDATED 2024-03-23 13:23:36 UTC
LAST UPDATED 2024-03-23 13:23:36 UTC
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