Brian Clinton Fryar
Controlled Substance Registration - Dentist
Indiana 12008697B Expired
This Indiana license was held by Brian Clinton Fryar. The license is no longer active. It was granted on 03/02/1992 and expired on 03/01/2006
LICENSE DETAILS
- License Number: 12008697B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 03/02/1992 (over 33 years ago)
- Expiry Date: 03/01/2006 (over 19 years ago)
LOCATIONS
A Address
La Porte Orhtodontics, 1700 A Street, La Porte IN 46350-5925