Indiana
Professional Licensing Agency
Steven Lawrence Underwood
Controlled Substance Registration - Dentist
License number
12008044B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
107 THREE RIVERS EAST, FORT WAYNE IN 46802
indianalicensing.org
ID 5096031
LAST UPDATED 2024-05-05 19:28:20 UTC
LAST UPDATED 2024-05-05 19:28:20 UTC
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