License holder summary

Mark Andrew Riese is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mark Andrew Riese is 706 North Main Street, PO Box 615, Monticello IN 47960. This licensed professional license is current. The license was granted 09/07/1995 and expired on 03/01/2016.

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

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