Lora Rita Wonderly

Controlled Substance Registration - Dentist

Indiana  12011879B   Active

This Indiana license is held by Lora Rita Wonderly. The license is currently active. It was granted on 08/27/2013 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12011879B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 08/27/2013 (over 10 years ago)
  • Expiry Date: 03/01/2016 (about 8 years ago)

LOCATIONS

A Address

Midtown Dental, 2703 Broadway, Fort Wayne IN 46808