Philip C Roach
Controlled Substance Registration - Dentist
Indiana 12008612C Expired
This Indiana license was held by Philip C Roach. The license is no longer active. It was granted on 07/19/1990 and expired on 03/01/2000
LICENSE DETAILS
- License Number: 12008612C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 07/19/1990 (almost 35 years ago)
- Expiry Date: 03/01/2000 (over 25 years ago)
LOCATIONS
A Address
6642 ST JOE ROAD, HUNTINGTON IN 46750