License holder summary

FRANK ANTHONY PORTOLESE is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for FRANK ANTHONY PORTOLESE is 56288 ERICKSON DRIVE, MISHAWAKA IN 46545. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

FRANK ANTHONY PORTOLESE
Controlled Substance Registration - Dentist
License number
12005576B
Date granted
12/31/1985
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
56288 ERICKSON DRIVE, MISHAWAKA IN 46545
indianalicensing.org
ID 5112413
LAST UPDATED 2024-04-13 12:27:30 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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