License holder summary

Lora Rita Wonderly is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lora Rita Wonderly is Midtown Dental, 2703 Broadway, Fort Wayne IN 46808. This licensed professional license is current. The license was granted 08/27/2013 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Lora Rita Wonderly
Controlled Substance Registration - Dentist
License number
12011879B
Date granted
08/27/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Midtown Dental, 2703 Broadway, Fort Wayne IN 46808
indianalicensing.org
ID 5095539
LAST UPDATED 2024-03-22 04:21:16 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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