Clifford Wilson Fiscus, II

Controlled Substance Registration - Dentist

Indiana  12010106B   Expired

This Indiana license was held by Clifford Wilson Fiscus, II. The license is no longer active. It was granted on 10/19/1998 and expired on 03/01/2000

LICENSE DETAILS

  • License Number: 12010106B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 10/19/1998 (over 25 years ago)
  • Expiry Date: 03/01/2000 (about 24 years ago)

LOCATIONS

A Address

I U S D, 2828 EAST STATE STREET, FORT WAYNE IN 46805