License holder summary

Jeffrey Scott Mader is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jeffrey Scott Mader is 17490 State Road 23, South Bend IN 46635. This licensed professional license is current. The license was granted 12/21/1989 and expired on 03/01/2016.

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 2021-11-03 03:31:45 UTC

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