License holder summary

Lester Benjamin Fuller is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lester Benjamin Fuller is 619 RIDGE ROAD, MUNSTER IN 46321. This licensed professional license is not current. The license was granted 10/31/1985 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

Lester Benjamin Fuller
Controlled Substance Registration - Dentist
License number
12006152B
Date granted
10/31/1985
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
619 RIDGE ROAD, MUNSTER IN 46321
indianalicensing.org
ID 5114909
LAST UPDATED 2024-03-16 00:37:23 UTC

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