License holder summary

Tom Douglas Fuller is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Tom Douglas Fuller is 760 Alber Street, Wabash IN 46992. This licensed professional license is not current. The license was granted 07/05/1988 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Tom Douglas Fuller
Controlled Substance Registration - Dentist
License number
12009014B
Date granted
07/05/1988
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
760 Alber Street, Wabash IN 46992
indianalicensing.org
ID 5126869
LAST UPDATED 2024-03-25 03:11:20 UTC

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