Larry Lloyd Graham
Controlled Substance Registration - Dentist
Indiana 12006195C Expired
This Indiana license was held by Larry Lloyd Graham. The license is no longer active. It was granted on 04/08/1996 and expired on 03/01/2002
LICENSE DETAILS
- License Number: 12006195C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 04/08/1996 (over 30 years ago)
- Expiry Date: 03/01/2002 (over 24 years ago)
LOCATIONS
A Address
1612 N BALDWIN AVE, MARION IN 46952