License holder summary

Wendy Diann Maple is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Wendy Diann Maple is 718 E. Broadway, Logansport IN 46947. This licensed professional license is current. The license was granted 10/27/2003 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Wendy Diann Maple
Controlled Substance Registration - Dentist
License number
12010584B
Date granted
10/27/2003
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
718 E. Broadway, Logansport IN 46947
indianalicensing.org
ID 5109274
LAST UPDATED 2024-04-02 05:12:12 UTC

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