Indiana
Professional Licensing Agency
Jeffrey Scott Mader
Controlled Substance Registration - Dentist
License number
12009190B
Date granted
12/21/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
17490 State Road 23, South Bend IN 46635
indianalicensing.org
ID 5123045
LAST UPDATED 2024-03-07 13:47:21 UTC
LAST UPDATED 2024-03-07 13:47:21 UTC
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