LESLIE IVAN DAVIS
Controlled Substance Registration - Dentist
Indiana 12008306B Expired
This Indiana license was held by LESLIE IVAN DAVIS. The license is no longer active. It was granted on 10/07/1981 and expired on 01/31/1983
LICENSE DETAILS
- License Number: 12008306B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 10/07/1981 (over 43 years ago)
- Expiry Date: 01/31/1983 (over 42 years ago)
LOCATIONS
A Address
4545 NORTHWESTERN DRIVE, ZIONSVILLE IN 46077