PHILIP MAX FOGLE
Controlled Substance Registration - Dentist
Indiana 12004141B Expired
This Indiana license was held by PHILIP MAX FOGLE. The license is no longer active. It was granted on 10/31/1986 and expired on 03/01/1996
LICENSE DETAILS
- License Number: 12004141B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 10/31/1986 (over 37 years ago)
- Expiry Date: 03/01/1996 (over 28 years ago)
LOCATIONS
A Address
8090 N MERIDIAN STREET, INDIANAPOLIS IN 46260