License holder summary

ROGER ETHAN ISH is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for ROGER ETHAN ISH is 335 N WAYNE STREET, WATERLOO IN 46793. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 03/01/1988.

Indiana

Professional Licensing Agency

ROGER ETHAN ISH
Controlled Substance Registration - Dentist
License number
12004517B
Date granted
06/30/1986
Date expires
03/01/1988
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
335 N WAYNE STREET, WATERLOO IN 46793
indianalicensing.org
ID 5127501
LAST UPDATED 2024-04-22 10:05:12 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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