Ronald Philip Block
Controlled Substance Registration - Dentist
Indiana 12009824B Expired
This Indiana license was held by Ronald Philip Block. The license is no longer active. It was granted on 02/27/1996 and expired on 03/01/2004
LICENSE DETAILS
- License Number: 12009824B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 02/27/1996 (over 28 years ago)
- Expiry Date: 03/01/2004 (over 20 years ago)
LOCATIONS
A Address
8159 E. 109th Ave., P.O. Box 104, Crown Point IN 46308