ROBERT HAYES DERRY
Controlled Substance Registration - Dentist
Indiana 12004453B Expired
This Indiana license was held by ROBERT HAYES DERRY. The license is no longer active. It was granted on 09/30/1982 and expired on 09/30/1983
LICENSE DETAILS
- License Number: 12004453B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 09/30/1982 (over 41 years ago)
- Expiry Date: 09/30/1983 (over 40 years ago)
LOCATIONS
A Address
3251 EAST 79TH STREET # B, INDIANAPOLIS IN 46240