Indiana
Professional Licensing Agency
Mark Alan Lewis
Controlled Substance Registration - Dentist
License number
12008006B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Putnamville Correctional Facility, 1946 West US Highway 40, Greencastle IN 46135
indianalicensing.org
ID 5098606
LAST UPDATED 2024-03-06 23:03:19 UTC
LAST UPDATED 2024-03-06 23:03:19 UTC
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