License holder summary

Edward T. Mamaril is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Edward T. Mamaril is 2302 South Dixon Road, Suite 125, Kokomo IN 46902. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Board of Licensing

Edward T. Mamaril
Controlled Substance Registration - Dentist
License number
12008594B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2302 South Dixon Road, Suite 125, Kokomo IN 46902
indianalicensing.org
ID 22437760
LAST UPDATED 2021-01-02 07:56:15 UTC

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