Phillip R. Douglas
Controlled Substance Registration - Dentist
Indiana 12011180B Expired
This Indiana license was held by Phillip R. Douglas. The license is no longer active. It was granted on 06/17/2008 and expired on 03/01/2010
LICENSE DETAILS
- License Number: 12011180B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 06/17/2008 (almost 17 years ago)
- Expiry Date: 03/01/2010 (about 15 years ago)
LOCATIONS
A Address
Putnamville Correctional Facility, 1500 West U.S. 40, Greencastle IN 46135