Phillip R. Douglas
Dental Intern Permit
Indiana 42000265A Superceded
This Indiana license was held by Phillip R. Douglas. The license is no longer active. It was granted on 12/09/2002 and expired on 06/08/2008
LICENSE DETAILS
- License Number: 42000265A
- Category: Dental Intern Permit
- Status: Superceded
- Date Granted: 12/09/2002 (over 22 years ago)
- Expiry Date: 06/08/2008 (almost 17 years ago)
LOCATIONS
A Address
Indianapolis IN 46228