License holder summary

Ryan Gregory Clark is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Ryan Gregory Clark is Indiana Health Centers, 1901 #B Western Avenue, South Bend IN 46619. This licensed professional license is not current. The license was granted 07/20/2010 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Ryan Gregory Clark
Controlled Substance Registration - Dentist
License number
12011515B
Date granted
07/20/2010
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Indiana Health Centers, 1901 #B Western Avenue, South Bend IN 46619
indianalicensing.org
ID 5123492
LAST UPDATED 2024-03-24 12:04:53 UTC

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