Indiana
Professional Licensing Agency
Paul Revere Detamore
Dentist
License number
12003278A
Date granted
06/28/1924
Date expires
01/01/1976
Class
Dentist
Status
Expired
Address
SOUTH BEND IN 46601
indianalicensing.org
ID 5305125
LAST UPDATED 2026-05-04 03:49:10 UTC
LAST UPDATED 2026-05-04 03:49:10 UTC
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