License holder summary

ROBERT DEAN GANNON JR is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for ROBERT DEAN GANNON JR is 611 EDGEWATER, MONTICELLO IN 47960. This licensed professional license is not current. The license was granted 12/31/1983 and expired on 12/31/1984.

Indiana

Professional Licensing Agency

ROBERT DEAN GANNON JR
Controlled Substance Registration - Dentist
License number
12004610B
Date granted
12/31/1983
Date expires
12/31/1984
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
611 EDGEWATER, MONTICELLO IN 47960
indianalicensing.org
ID 5113169
LAST UPDATED 2024-04-16 13:51:13 UTC

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