Andrew Lane
Controlled Substance Registration - Dentist
Indiana 12010414B Active
This Indiana license is held by Andrew Lane. The license is currently active. It was granted on 04/10/2002 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010414B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 04/10/2002 (over 24 years ago)
- Expiry Date: 03/01/2016 (over 10 years ago)
LOCATIONS
A Address
INDIANA HEALTH CENTERS INC, 3118 S LAFOUNTAIN, Kokomo IN 46902
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