License holder summary

Dale Gary Mayfield is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Dale Gary Mayfield is Kool Smiles, 400 East Diamond Avenue, Evansville IN 47711. This licensed professional license is current. The license was granted 11/17/2011 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Dale Gary Mayfield
Controlled Substance Registration - Dentist
License number
12010968B
Date granted
11/17/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Kool Smiles, 400 East Diamond Avenue, Evansville IN 47711
indianalicensing.org
ID 5091643
LAST UPDATED 2024-02-06 03:45:59 UTC

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