License holder summary

Brent Edward Mutton is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Brent Edward Mutton is Fort Wayne Dental Group, 7202 Engle Road, Fort Wayne IN 46804-2222. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Brent Edward Mutton
Controlled Substance Registration - Dentist
License number
12008127B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Fort Wayne Dental Group, 7202 Engle Road, Fort Wayne IN 46804-2222
indianalicensing.org
ID 5094247
LAST UPDATED 2024-03-03 19:06:35 UTC

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