David Matthew Allen

Controlled Substance Registration - Dentist

Indiana  12008539C   Expired

This Indiana license was held by David Matthew Allen. The license is no longer active. It was granted on 04/19/1988 and expired on 03/01/1990

LICENSE DETAILS

  • License Number: 12008539C
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 04/19/1988 (about 37 years ago)
  • Expiry Date: 03/01/1990 (over 35 years ago)

LOCATIONS

A Address

4504 PARNELL AVENUE, FORT WAYNE IN 46825