Dan Eugene Faulk
Controlled Substance Registration - Dentist
Indiana 12008292C Expired
This Indiana license was held by Dan Eugene Faulk. The license is no longer active. It was granted on 01/15/2003 and expired on 03/01/2012
LICENSE DETAILS
- License Number: 12008292C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 01/15/2003 (over 22 years ago)
- Expiry Date: 03/01/2012 (about 13 years ago)
LOCATIONS
A Address
Indiana Oral and Maxillofacial Surgery Associates, 1667 North Lebanon Street, Lebanon IN 46052-1515