License holder summary

Roland Fred Slyby is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Roland Fred Slyby is 4606B East State Blvd., Fort Wayne IN 46815-6963. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Roland Fred Slyby
Controlled Substance Registration - Dentist
License number
12006426B
Date granted
01/31/1986
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4606B East State Blvd., Fort Wayne IN 46815-6963
indianalicensing.org
ID 5095813
LAST UPDATED 2024-04-10 01:05:47 UTC

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