Robert Lee Lackey
Controlled Substance Registration - Dentist
Indiana 12005413B Surrendered
This Indiana license was held by Robert Lee Lackey. The license is no longer active. It was granted on 05/31/1986 and expired on 03/01/1996
LICENSE DETAILS
- License Number: 12005413B
- Category: CSR-Dentist
- Status: Surrendered
- Date Granted: 05/31/1986 (almost 39 years ago)
- Expiry Date: 03/01/1996 (about 29 years ago)
LOCATIONS
A Address
ANDERSON BANK BLDG #514, 931 MERIDIAN PLAZA, ANDERSON IN 46016