Timothy Jacob Devitt
Controlled Substance Registration - Dentist
Indiana 12010652D Expired
This Indiana license was held by Timothy Jacob Devitt. The license is no longer active. It was granted on 09/13/2007 and expired on 03/01/2010
LICENSE DETAILS
- License Number: 12010652D
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 09/13/2007 (over 17 years ago)
- Expiry Date: 03/01/2010 (about 15 years ago)
LOCATIONS
A Address
Indiana Oral and Maxillofacial Surgery Associates, 14540 Prairie Lakes Blvd. North, Suite 207, Noblesville IN 46060-4370