License holder summary

Mallory Michalke Griffith is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mallory Michalke Griffith is Kool Smiles, 4315 Commerce Drive, Lafayette IN 47905. This licensed professional license is current. The license was granted 06/21/2012 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mallory Michalke Griffith
Controlled Substance Registration - Dentist
License number
12011779B
Date granted
06/21/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Kool Smiles, 4315 Commerce Drive, Lafayette IN 47905
indianalicensing.org
ID 5107646
LAST UPDATED 2024-02-24 00:23:58 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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