David Lee Carlson
Controlled Substance Registration - Dentist
Indiana 12010337B Expired
This Indiana license was held by David Lee Carlson. The license is no longer active. It was granted on 06/29/2001 and expired on 03/01/2004
LICENSE DETAILS
- License Number: 12010337B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 06/29/2001 (almost 24 years ago)
- Expiry Date: 03/01/2004 (about 21 years ago)
LOCATIONS
A Address
Neighborhood Health Clinics Inc, 1717 South Calhoun, Fort Wayne IN 46802-5257