License holder summary

Robert Lance Gayle is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Robert Lance Gayle is 1220 MEDICAL PARK DRIVE #1, FORT WAYNE IN 46825. This licensed professional license is not current. The license was granted 03/27/1985 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

Robert Lance Gayle
Controlled Substance Registration - Dentist
License number
12006078B
Date granted
03/27/1985
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1220 MEDICAL PARK DRIVE #1, FORT WAYNE IN 46825
indianalicensing.org
ID 5095736
LAST UPDATED 2024-03-06 18:53:25 UTC

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