Indiana
Professional Licensing Agency
Robert Lee Lackey
Controlled Substance Registration - Dentist
License number
12005413B
Date granted
05/31/1986
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Surrendered
Address
ANDERSON BANK BLDG #514, 931 MERIDIAN PLAZA, ANDERSON IN 46016
indianalicensing.org
ID 5080975
LAST UPDATED 2024-02-04 09:44:34 UTC
LAST UPDATED 2024-02-04 09:44:34 UTC
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