Wendy Diann Maple
Controlled Substance Registration - Dentist
Indiana 12010584B Active
This Indiana license is held by Wendy Diann Maple. The license is currently active. It was granted on 10/27/2003 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010584B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 10/27/2003 (over 21 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
718 E. Broadway, Logansport IN 46947
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