Ryan Gregory Clark

Controlled Substance Registration - Dentist

Indiana  12011515B   Expired

This Indiana license was held by Ryan Gregory Clark. The license is no longer active. It was granted on 07/20/2010 and expired on 03/01/2014

LICENSE DETAILS

  • License Number: 12011515B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 07/20/2010 (almost 15 years ago)
  • Expiry Date: 03/01/2014 (about 11 years ago)

LOCATIONS

A Address

Indiana Health Centers, 1901 #B Western Avenue, South Bend IN 46619