Grady Scott Randall
Controlled Substance Registration - Dentist
Indiana 12011497B Expired
This Indiana license was held by Grady Scott Randall. The license is no longer active. It was granted on 09/27/2010 and expired on 03/01/2014
LICENSE DETAILS
- License Number: 12011497B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 09/27/2010 (over 14 years ago)
- Expiry Date: 03/01/2014 (about 11 years ago)
LOCATIONS
A Address
Dentistry Plus, 1516 Lynch Lane, Suite A, Clarksville IN 47129