License holder summary

Malek Fansa is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Malek Fansa is 75 North State Road 135, Suite C, Greenwood IN 46142-1456. This licensed professional license is current. The license was granted 09/12/2000 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Malek Fansa
Controlled Substance Registration - Dentist
License number
12010260B
Date granted
09/12/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
75 North State Road 135, Suite C, Greenwood IN 46142-1456
indianalicensing.org
ID 5099304
LAST UPDATED 2026-04-24 10:01:02 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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