Gerry Lee Kaufman
Controlled Substance Registration - Dentist
Indiana 12006394B Expired
This Indiana license was held by Gerry Lee Kaufman. The license is no longer active. It was granted on 05/31/1986 and expired on 03/01/2008
LICENSE DETAILS
- License Number: 12006394B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 05/31/1986 (almost 39 years ago)
- Expiry Date: 03/01/2008 (about 17 years ago)
LOCATIONS
A Address
4606-B E STATE BLVD, FORT WAYNE IN 46815