Indiana
Professional Licensing Agency
Gregory Scott MacDonald
Controlled Substance Registration - Dentist
License number
12007264B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
LAMPLIGHT SQUARE, 552 VALE PARK ROAD, VALPARAISO IN 46385
indianalicensing.org
ID 5125998
LAST UPDATED 2024-02-21 23:43:22 UTC
LAST UPDATED 2024-02-21 23:43:22 UTC
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