License holder summary

ROBERT JAY DETAMORE is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for ROBERT JAY DETAMORE is HEALTHNET DENTAL CENTER, 1107 PROSPECT AVENUE, INDIANAPOLIS IN 46203. This licensed professional license is not current. The license was granted 10/31/1986 and expired on 03/01/1998.

Indiana

Professional Licensing Agency

ROBERT JAY DETAMORE
Controlled Substance Registration - Dentist
License number
12004768B
Date granted
10/31/1986
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
HEALTHNET DENTAL CENTER, 1107 PROSPECT AVENUE, INDIANAPOLIS IN 46203
indianalicensing.org
ID 5104232
LAST UPDATED 2024-03-22 05:56:47 UTC

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