Philip J. Eversman

Controlled Substance Registration - Dentist

Indiana  12007232B   Active

This Indiana license is held by Philip J. Eversman. The license is currently active. It was granted on 07/31/1986 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12007232B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 07/31/1986 (almost 39 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

5055 East U.S. 36, Suite 101, Avon IN 46123-9160