License holder summary

ROBERT ALONZA MARTIN is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for ROBERT ALONZA MARTIN is 3851 NORTH RIVER ROAD, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

ROBERT ALONZA MARTIN
Controlled Substance Registration - Dentist
License number
12005927B
Date granted
02/28/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3851 NORTH RIVER ROAD, LAFAYETTE IN 47904
indianalicensing.org
ID 5107824
LAST UPDATED 2024-04-14 04:45:54 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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