Samuel Albert Tancredi

Controlled Substance Registration - Dentist

Indiana  12010688D   Expired

This Indiana license was held by Samuel Albert Tancredi. The license is no longer active. It was granted on 04/17/2008 and expired on 03/01/2010

LICENSE DETAILS

  • License Number: 12010688D
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 04/17/2008 (about 17 years ago)
  • Expiry Date: 03/01/2010 (about 15 years ago)

LOCATIONS

A Address

Indiana Oral & Maxillofacial Surgery Associates, 8102 Kingston Street, Suite 400, Avon IN 46123