John William Pruitt

Controlled Substance Registration - Dentist

Indiana  12009797C   Expired

This Indiana license was held by John William Pruitt. The license is no longer active. It was granted on 01/14/2003 and expired on 03/01/2008

LICENSE DETAILS

  • License Number: 12009797C
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 01/14/2003 (over 22 years ago)
  • Expiry Date: 03/01/2008 (over 17 years ago)

LOCATIONS

A Address

INDIANA ORAL AND MAXILLOFACIAL SURG, 8325 S Emerson, Suite C-1, Indianapolis IN 46237