ALBOURNE LONG
Controlled Substance Registration - Dentist
Indiana 12004800B Expired
This Indiana license was held by ALBOURNE LONG. The license is no longer active. It was granted on 05/31/1984 and expired on 05/31/1985
LICENSE DETAILS
- License Number: 12004800B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 05/31/1984 (over 42 years ago)
- Expiry Date: 05/31/1985 (over 41 years ago)
LOCATIONS
A Address
401 DIXIE HIGHWAY NORTH, SOUTH BEND IN 46637