Indiana
Professional Licensing Agency
Steven Richard Clute
Controlled Substance Registration - Dentist
License number
12010603B
Date granted
10/28/2003
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7524 S Anthony Blvd, Fort Wayne IN 46816
indianalicensing.org
ID 5096056
LAST UPDATED 2024-04-03 04:33:13 UTC
LAST UPDATED 2024-04-03 04:33:13 UTC
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