Park Lewis Firebaugh
Controlled Substance Registration - Dentist
Indiana 12008692B Active
This Indiana license is held by Park Lewis Firebaugh. The license is currently active. It was granted on 07/10/1985 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12008692B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 07/10/1985 (almost 40 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
819 East Franklin Street, Greencastle IN 46135-1407
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