Indiana
Professional Licensing Agency
Maurice Powers Lord, II
Controlled Substance Registration - Dentist
License number
12006121B
Date granted
05/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
300 Medical Arts Building, 415 North 26th Street, Lafayette IN 47904
indianalicensing.org
ID 5107685
LAST UPDATED 2024-03-08 21:10:26 UTC
LAST UPDATED 2024-03-08 21:10:26 UTC
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