License holder summary

Theodore Leonard Deal, Jr. is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Theodore Leonard Deal, Jr. is IPFW Dental Education, 2101 East Coliseum Boulevard, Neff 150, Fort Wayne IN 46805-1499. This licensed professional license is current. The license was granted 10/19/1992 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Theodore Leonard Deal, Jr.
Controlled Substance Registration - Dentist
License number
12009443B
Date granted
10/19/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
IPFW Dental Education, 2101 East Coliseum Boulevard, Neff 150, Fort Wayne IN 46805-1499
indianalicensing.org
ID 5096127
LAST UPDATED 2024-04-18 22:22:43 UTC

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