Larry Gene Walker
Controlled Substance Registration - Dentist
Indiana 12007562D Expired
This Indiana license was held by Larry Gene Walker. The license is no longer active. It was granted on 08/03/1999 and expired on 03/01/2002
LICENSE DETAILS
- License Number: 12007562D
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 08/03/1999 (over 25 years ago)
- Expiry Date: 03/01/2002 (about 23 years ago)
LOCATIONS
A Address
EAST STATE DENTAL CARE, 2828 EAST STATE BOULEVARD, Fort Wayne IN 46805