FREDRIC DEVON LOGAN
Controlled Substance Registration - Dentist
Indiana 12004520B Expired
This Indiana license was held by FREDRIC DEVON LOGAN. The license is no longer active. It was granted on 05/31/1986 and expired on 03/01/1998
LICENSE DETAILS
- License Number: 12004520B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 05/31/1986 (about 39 years ago)
- Expiry Date: 03/01/1998 (over 27 years ago)
LOCATIONS
A Address
508 EAST LINCOLN STREET, KENTLAND IN 47951