Indiana
Professional Licensing Agency
Raymond Mason Maddox
Controlled Substance Registration - Dentist
License number
12007265B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1200 NORTH WALNUT STREET, HARTFORD CITY IN 47348
indianalicensing.org
ID 5100248
LAST UPDATED 2024-04-14 12:54:07 UTC
LAST UPDATED 2024-04-14 12:54:07 UTC
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