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
LAST UPDATED 2024-05-08 16:37:02 UTC
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