Timothy James Frey

Controlled Substance Registration - Dentist

Indiana  12009756B   Active

This Indiana license is held by Timothy James Frey. The license is currently active. It was granted on 01/20/1999 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12009756B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 01/20/1999 (over 26 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

4011 West Jefferson Boulevard, Fort Wayne IN 46804