ADAM B CHRISTMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

CHRISTMAN

Business Name

ADAM B CHRISTMAN

Original Issue Date

07/23/2008

Effective Date

08/01/2011

Expiration Date

09/30/2012

City

INDIANAPOLIS

State

Zip

46202

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012