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
LAST UPDATED 2024-02-06 03:45:59 UTC
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