License holder summary

ROBERT HAYES DERRY is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for ROBERT HAYES DERRY is 3251 EAST 79TH STREET # B, INDIANAPOLIS IN 46240. This licensed professional license is not current. The license was granted 09/30/1982 and expired on 09/30/1983.

Indiana

Professional Licensing Agency

ROBERT HAYES DERRY
Controlled Substance Registration - Dentist
License number
12004453B
Date granted
09/30/1982
Date expires
09/30/1983
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3251 EAST 79TH STREET # B, INDIANAPOLIS IN 46240
indianalicensing.org
ID 5104217
LAST UPDATED 2024-04-19 15:47:02 UTC

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