License holder summary

Ross Laverne Lawrence is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Ross Laverne Lawrence is 127 A Kingsbury Avenue, La Porte IN 46350. This licensed professional license is current. The license was granted 05/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Ross Laverne Lawrence
Controlled Substance Registration - Dentist
License number
12006116B
Date granted
05/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
127 A Kingsbury Avenue, La Porte IN 46350
indianalicensing.org
ID 5107252
LAST UPDATED 2024-04-28 19:42:01 UTC

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