Indiana
Professional Licensing Agency
Mark Buckley
Controlled Substance Registration - Dentist
License number
12008304B
Date granted
10/31/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8225 North State Road 157, Worthington IN 47471
indianalicensing.org
ID 5104983
LAST UPDATED 2024-04-10 12:52:23 UTC
LAST UPDATED 2024-04-10 12:52:23 UTC
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