Lynn E. Gassoway

Controlled Substance Registration - Dentist

Indiana  12007149B   Active

This Indiana license is held by Lynn E. Gassoway. The license is currently active. It was granted on 03/11/1994 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12007149B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 03/11/1994 (about 31 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

4405 Kingsdale Dr., Valparaiso IN 46383