Indiana
Professional Licensing Agency
John Ritter Mast
Controlled Substance Registration - Dentist
License number
12008259B
Date granted
08/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3309 SOUTH 7TH STREET, TERRE HAUTE IN 47802
indianalicensing.org
ID 5124979
LAST UPDATED 2024-02-13 11:02:54 UTC
LAST UPDATED 2024-02-13 11:02:54 UTC
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