Indiana
Professional Licensing Agency
Edward A. Martin
Controlled Substance Registration - Dentist
License number
12006256B
Date granted
02/28/1986
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2646 LOIS STREET, PORTAGE IN 46368
indianalicensing.org
ID 5119079
LAST UPDATED 2024-04-24 18:57:03 UTC
LAST UPDATED 2024-04-24 18:57:03 UTC
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