License holder summary

Nkechi Awele Gwam Wan is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Nkechi Awele Gwam Wan is Three Rivers Dentistry, 2828 East State Boulevard, Suite B, Fort Wayne IN 46805. This licensed professional license is current. The license was granted 09/17/2008 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Nkechi Awele Gwam Wan
Controlled Substance Registration - Dentist
License number
12011225B
Date granted
09/17/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Three Rivers Dentistry, 2828 East State Boulevard, Suite B, Fort Wayne IN 46805
indianalicensing.org
ID 5095538
LAST UPDATED 2024-04-02 02:13:26 UTC

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