Timothy Wilson Logan

Controlled Substance Registration - Dentist

Indiana  12010128B   Active

This Indiana license is held by Timothy Wilson Logan. The license is currently active. It was granted on 05/13/1999 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12010128B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 05/13/1999 (about 26 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

1964 State Street, Suite 200, New Albany IN 47150-4943