LEO R STULTS

Controlled Substance Registration - Dentist

Indiana  12004628B   Expired

This Indiana license was held by LEO R STULTS. The license is no longer active. It was granted on 01/31/1986 and expired on 03/01/1988

LICENSE DETAILS

  • License Number: 12004628B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 01/31/1986 (over 38 years ago)
  • Expiry Date: 03/01/1988 (about 36 years ago)

LOCATIONS

A Address

BOX 155, BRISTOL IN 46507