License holder summary

Wayne Wilson Donnally is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Wayne Wilson Donnally is 915 South Joan Drive, Portland IN 47371. This licensed professional license is not current. The license was granted 10/31/1984 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

Wayne Wilson Donnally
Controlled Substance Registration - Dentist
License number
12006253B
Date granted
10/31/1984
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
915 South Joan Drive, Portland IN 47371
indianalicensing.org
ID 5119268
LAST UPDATED 2024-05-08 16:37:02 UTC

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