Brett Michael DiSalle

Controlled Substance Registration - Dentist

Indiana  12009812D   Expired

This Indiana license was held by Brett Michael DiSalle. The license is no longer active. It was granted on 01/30/2007 and expired on 03/01/2010

LICENSE DETAILS

  • License Number: 12009812D
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 01/30/2007 (about 18 years ago)
  • Expiry Date: 03/01/2010 (about 15 years ago)

LOCATIONS

A Address

Angola Dental Center, 205 East Harcourt Road, Angola IN 46703-7131