Lori Baucom Fitzgerald

Controlled Substance Registration - Dentist

Indiana  12009946B   Expired

This Indiana license was held by Lori Baucom Fitzgerald. The license is no longer active. It was granted on 01/27/1998 and expired on 03/01/2000

LICENSE DETAILS

  • License Number: 12009946B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 01/27/1998 (over 27 years ago)
  • Expiry Date: 03/01/2000 (over 25 years ago)

LOCATIONS

A Address

1109 E SPRING STREET, NEW ALBANY IN 47150