License holder summary

Mandana Bastani Milani is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mandana Bastani Milani is Kool Smiles, 400 East Diamond Avenue, Evansville IN 47711. This licensed professional license is current. The license was granted 07/10/2012 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mandana Bastani Milani
Controlled Substance Registration - Dentist
License number
12011853B
Date granted
07/10/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Kool Smiles, 400 East Diamond Avenue, Evansville IN 47711
indianalicensing.org
ID 5092378
LAST UPDATED 2024-04-12 21:44:28 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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