License holder summary

Stephanie Pence Martin is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Stephanie Pence Martin is Family Dentistry, 9855 Crosspoint Boulevard, Indianapolis IN 46256. This licensed professional license is not current. The license was granted 07/28/1997 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

Stephanie Pence Martin
Controlled Substance Registration - Dentist
License number
12009976B
Date granted
07/28/1997
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Family Dentistry, 9855 Crosspoint Boulevard, Indianapolis IN 46256
indianalicensing.org
ID 5104457
LAST UPDATED 2024-02-13 03:48:43 UTC

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