Indiana
Professional Licensing Agency
Hiral Mukundkumar Modi
Controlled Substance Registration - Dentist
License number
12011837B
Date granted
06/27/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Brownstown Dental Clinic, 615 West Commerce Street, Brownstown IN 47220
indianalicensing.org
ID 5084680
LAST UPDATED 2026-05-03 14:06:48 UTC
LAST UPDATED 2026-05-03 14:06:48 UTC
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