Charles D. Coburn
Controlled Substance Registration - Dentist
Indiana 12006381B Expired
This Indiana license was held by Charles D. Coburn. The license is no longer active. It was granted on 11/30/1984 and expired on 03/01/2014
LICENSE DETAILS
- License Number: 12006381B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 11/30/1984 (over 40 years ago)
- Expiry Date: 03/01/2014 (over 11 years ago)
LOCATIONS
A Address
60 Kilmartin Court, Valparaiso IN 46385-9304