License holder summary

Robert Neil Modlin is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Robert Neil Modlin is 1709 WESTERN DRIVE, WEST LAFAYETTE IN 47906. This licensed professional license is not current. The license was granted 02/28/1983 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

Robert Neil Modlin
Controlled Substance Registration - Dentist
License number
12005660B
Date granted
02/28/1983
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1709 WESTERN DRIVE, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5127739
LAST UPDATED 2024-03-14 00:59:01 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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