Ted Charles Lewis

Controlled Substance Registration - Dentist

Indiana  12012055B   Active

This Indiana license is held by Ted Charles Lewis. The license is currently active. It was granted on 11/04/2013 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12012055B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 11/04/2013 (over 11 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

Browntown Dental Clinic, 615 West Commerce, Brownstown IN 47220