Wayne Wilson Donnally
Controlled Substance Registration - Dentist
Indiana 12006253B Expired
This Indiana license was held by Wayne Wilson Donnally. The license is no longer active. It was granted on 10/31/1984 and expired on 03/01/2004
LICENSE DETAILS
- License Number: 12006253B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 10/31/1984 (over 40 years ago)
- Expiry Date: 03/01/2004 (over 21 years ago)
LOCATIONS
A Address
915 South Joan Drive, Portland IN 47371