Indiana
Professional Licensing Agency
Lester David O'Banion
Controlled Substance Registration - Dentist
License number
12010515B
Date granted
08/10/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
545 Country Club Road, Corydon IN 47112
indianalicensing.org
ID 5088416
LAST UPDATED 2024-04-25 12:15:07 UTC
LAST UPDATED 2024-04-25 12:15:07 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.