David Van Wormer
Controlled Substance Registration - Dentist
Indiana 12009888B Active
This Indiana license is held by David Van Wormer. The license is currently active. It was granted on 08/01/1996 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009888B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 08/01/1996 (almost 28 years ago)
- Expiry Date: 03/01/2016 (over 8 years ago)
LOCATIONS
A Address
312 North Lake Street, Warsaw IN 46580-2643
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