Gregory A. Ortman
Controlled Substance Registration - Dentist
Indiana 12008716B Active
This Indiana license is held by Gregory A. Ortman. The license is currently active. It was granted on 07/22/1985 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12008716B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 07/22/1985 (almost 40 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
2113 South Street, Lafayette IN 47904-2966
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