License holder summary

WAYNE H RISINGER is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for WAYNE H RISINGER is 221 SOUTH EDDY STREET, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

WAYNE H RISINGER
Controlled Substance Registration - Dentist
License number
12005150B
Date granted
08/31/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
221 SOUTH EDDY STREET, SOUTH BEND IN 46617
indianalicensing.org
ID 5123759
LAST UPDATED 2024-04-19 03:33:12 UTC

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