License holder summary

Margot Lu Van Dis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Margot Lu Van Dis is 1121 WEST MICHIGAN STREET, INDIANAPOLIS IN 46202. This licensed professional license is current. The license was granted 08/29/1990 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Margot Lu Van Dis
Controlled Substance Registration - Dentist
License number
12009292B
Date granted
08/29/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1121 WEST MICHIGAN STREET, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5103475
LAST UPDATED 2024-05-01 08:02:28 UTC

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