Indiana
Professional Licensing Agency
Ted Lynn Fullhart
Controlled Substance Registration - Dentist
License number
12006009B
Date granted
10/31/1984
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
304 North Talamore Avenue, Yorktown IN 47396
indianalicensing.org
ID 5128805
LAST UPDATED 2026-06-20 05:25:46 UTC
LAST UPDATED 2026-06-20 05:25:46 UTC
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