License holder summary

LESLIE IVAN DAVIS is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for LESLIE IVAN DAVIS is 4545 NORTHWESTERN DRIVE, ZIONSVILLE IN 46077. This licensed professional license is not current. The license was granted 10/07/1981 and expired on 01/31/1983.

Indiana

Professional Licensing Agency

LESLIE IVAN DAVIS
Controlled Substance Registration - Dentist
License number
12008306B
Date granted
10/07/1981
Date expires
01/31/1983
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4545 NORTHWESTERN DRIVE, ZIONSVILLE IN 46077
indianalicensing.org
ID 5129059
LAST UPDATED 2024-02-20 19:18:05 UTC

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