License holder summary

RICHARD TILLIS OLIVER is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for RICHARD TILLIS OLIVER is 2204 SCOTT STREET, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

RICHARD TILLIS OLIVER
Controlled Substance Registration - Dentist
License number
12005366B
Date granted
08/31/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2204 SCOTT STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5107812
LAST UPDATED 2024-04-16 15:55:10 UTC

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