David Wood Douglas
Controlled Substance Registration - Dentist
Indiana 12007853D Expired
This Indiana license was held by David Wood Douglas. The license is no longer active. It was granted on 01/06/1989 and expired on 03/01/1996
LICENSE DETAILS
- License Number: 12007853D
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 01/06/1989 (over 35 years ago)
- Expiry Date: 03/01/1996 (over 28 years ago)
LOCATIONS
A Address
4212 EAST MICHIGAN BOULEVARD, MICHIGAN CITY IN 46360