Indiana
Professional Licensing Agency
Malinda Gayle Mundy
Controlled Substance Registration - Dentist
License number
12009484B
Date granted
07/29/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Grin Dentistry, 10208 Lantern Road, Fishers IN 46037-9705
indianalicensing.org
ID 5093562
LAST UPDATED 2024-02-16 15:01:03 UTC
LAST UPDATED 2024-02-16 15:01:03 UTC
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