License holder summary

Michael Lee Leavitt is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Lee Leavitt is 3142 NORTH NATIONAL ROAD, COLUMBUS IN 47201. This licensed professional license is not current. The license was granted 05/31/1986 and expired on 03/01/2006.

Indiana

Professional Licensing Agency

Michael Lee Leavitt
Controlled Substance Registration - Dentist
License number
12006510B
Date granted
05/31/1986
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3142 NORTH NATIONAL ROAD, COLUMBUS IN 47201
indianalicensing.org
ID 5087985
LAST UPDATED 2024-02-14 19:44:30 UTC

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