Indiana
Professional Licensing Agency
Mark Broomhead
Controlled Substance Registration - Dentist
License number
12012069B
Date granted
02/12/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Compton Dental Center, 901 Fran Lin Pkwy, Munster IN 46321
indianalicensing.org
ID 27545914
LAST UPDATED 2024-04-02 17:32:43 UTC
LAST UPDATED 2024-04-02 17:32:43 UTC
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