ALAN R PROUTY DDS - Dentist License in Indiana | # 019033476

ALAN R PROUTY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033476

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

ALAN

Middle

R

Last Name

PROUTY

Business Name

ALAN R PROUTY DDS

Original Issue Date

12/13/2021

Effective Date

12/13/2021

Expiration Date

09/30/2024

State

IN

Ever Disciplined

N

LastModifiedDate

02/04/2025