License holder summary

Mary Lynn Verardi is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mary Lynn Verardi is 1005 EAST LASALLE AVENUE, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 11/19/1998 and expired on 03/01/2006.

Indiana

Professional Licensing Agency

Mary Lynn Verardi
Controlled Substance Registration - Dentist
License number
12010104B
Date granted
11/19/1998
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1005 EAST LASALLE AVENUE, SOUTH BEND IN 46617
indianalicensing.org
ID 5123265
LAST UPDATED 2024-03-22 11:59:21 UTC

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