Indiana
Professional Licensing Agency
Mark A. Corn
Controlled Substance Registration - Dentist
License number
12008896B
Date granted
07/20/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
902 County Road 6 East, Elkhart IN 46514-5571
indianalicensing.org
ID 5090851
LAST UPDATED 2024-03-28 08:31:10 UTC
LAST UPDATED 2024-03-28 08:31:10 UTC
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