William R. Long
Controlled Substance Registration - Dentist
Indiana 12006619B Expired
This Indiana license was held by William R. Long. The license is no longer active. It was granted on 05/31/1986 and expired on 03/01/2012
LICENSE DETAILS
- License Number: 12006619B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 05/31/1986 (about 39 years ago)
- Expiry Date: 03/01/2012 (over 13 years ago)
LOCATIONS
A Address
9602 E WASHINGTON STREET #C, INDIANAPOLIS IN 46229