CLYDE WENDEL PARKER

Controlled Substance Registration - Dentist

Indiana  12004732B   Expired

This Indiana license was held by CLYDE WENDEL PARKER. The license is no longer active. It was granted on 03/20/1990 and expired on 03/01/1994

LICENSE DETAILS

  • License Number: 12004732B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 03/20/1990 (about 36 years ago)
  • Expiry Date: 03/01/1994 (over 32 years ago)

LOCATIONS

A Address

5200 WASHINGTON AVENUE, EVANSVILLE IN 47715