License holder summary

Tobias M. Derloshon is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Tobias M. Derloshon is OUT OF STATE, INDIANAPOLIS IN 46223. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

Tobias M. Derloshon
Controlled Substance Registration - Dentist
License number
12008564B
Date granted
07/31/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
OUT OF STATE, INDIANAPOLIS IN 46223
indianalicensing.org
ID 5104717
LAST UPDATED 2024-02-07 16:10:26 UTC

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