PHILLIP LEWIS VUKOVICH
Controlled Substance Registration - Dentist
Indiana 12004969B Expired
This Indiana license was held by PHILLIP LEWIS VUKOVICH. The license is no longer active. It was granted on 09/30/1986 and expired on 03/01/1992
LICENSE DETAILS
- License Number: 12004969B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 09/30/1986 (over 38 years ago)
- Expiry Date: 03/01/1992 (about 33 years ago)
LOCATIONS
A Address
723 TIMBER COURT, CHESTERTON IN 46304