License holder summary

David John Mahoney is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for David John Mahoney is 54103 Ironwood Drive, South Bend IN 46635-1611. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

David John Mahoney
Controlled Substance Registration - Dentist
License number
12006024B
Date granted
02/28/1986
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
54103 Ironwood Drive, South Bend IN 46635-1611
indianalicensing.org
ID 5122815
LAST UPDATED 2024-03-29 11:03:53 UTC

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