License holder summary

Lawrence Ira Goldblatt is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lawrence Ira Goldblatt is INDIANA UNIVERSITY SCHOOL OF DENTISTRY, 1121 W MICHIGAN ST, INDIANAPOLIS IN 46202. This licensed professional license is not current. The license was granted 03/14/1988 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

Lawrence Ira Goldblatt
Controlled Substance Registration - Dentist
License number
12007207C
Date granted
03/14/1988
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
INDIANA UNIVERSITY SCHOOL OF DENTISTRY, 1121 W MICHIGAN ST, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5103385
LAST UPDATED 2024-04-23 16:43:42 UTC

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