Clarence Port Laderer
Controlled Substance Registration - Dentist
Indiana 12006396B Expired
This Indiana license was held by Clarence Port Laderer. The license is no longer active. It was granted on 05/31/1985 and expired on 03/01/2002
LICENSE DETAILS
- License Number: 12006396B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 05/31/1985 (about 40 years ago)
- Expiry Date: 03/01/2002 (over 23 years ago)
LOCATIONS
A Address
614 SOUTH EDDY STREET, SOUTH BEND IN 46615