David J. Henderson
Controlled Substance Registration - Dentist
Indiana 12007864B Expired
This Indiana license was held by David J. Henderson. The license is no longer active. It was granted on 06/30/1986 and expired on 03/01/2004
LICENSE DETAILS
- License Number: 12007864B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 06/30/1986 (almost 39 years ago)
- Expiry Date: 03/01/2004 (about 21 years ago)
LOCATIONS
A Address
857 AUTO MALL ROAD #5, BLOOMINGTON IN 47401