License holder summary

Lawrence E. Park is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lawrence E. Park is 10010 Dupont Circle Court, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 10/19/1998 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Lawrence E. Park
Controlled Substance Registration - Dentist
License number
12010099B
Date granted
10/19/1998
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
10010 Dupont Circle Court, Fort Wayne IN 46825
indianalicensing.org
ID 5095242
LAST UPDATED 2024-03-25 04:28:00 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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