Thomas Franklin Pequignot
Controlled Substance Registration - Dentist
Indiana 12006420B Active
This Indiana license is held by Thomas Franklin Pequignot. The license is currently active. It was granted on 12/31/1985 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12006420B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 12/31/1985 (over 39 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
11017 Bittersweet Dells Lane, Fort Wayne IN 46814
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