Indiana
Professional Licensing Agency
Mark Andrew Riese
Controlled Substance Registration - Dentist
License number
12009808B
Date granted
09/07/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
706 North Main Street, PO Box 615, Monticello IN 47960
indianalicensing.org
ID 5113134
LAST UPDATED 2024-03-24 04:08:52 UTC
LAST UPDATED 2024-03-24 04:08:52 UTC
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