Indiana
Professional Licensing Agency
Lyvonne Delcenia Washington
Controlled Substance Registration - Dentist
License number
12006171B
Date granted
02/19/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
5430 GRANDVIEW DRIVE, Indianapolis IN 46228
indianalicensing.org
ID 5103464
LAST UPDATED 2026-05-14 17:54:04 UTC
LAST UPDATED 2026-05-14 17:54:04 UTC
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