David Lee Carlson
Controlled Substance Registration - Dentist
Indiana 12010337C Active
This Indiana license is held by David Lee Carlson. The license is currently active. It was granted on 10/01/2012 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010337C
- Category: CSR-Dentist
- Status: Active
- Date Granted: 10/01/2012 (over 12 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
Mobile Dental Clinic, 9734 Saratoga Road, Fort Wayne IN 46804-7038
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