License holder summary

Mark Cameron Phillips is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mark Cameron Phillips is Aspen Dental, 3115 S Western Ave, Marion IN 46953. This licensed professional license is current. The license was granted 09/15/2005 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mark Cameron Phillips
Controlled Substance Registration - Dentist
License number
12010758B
Date granted
09/15/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Aspen Dental, 3115 S Western Ave, Marion IN 46953
indianalicensing.org
ID 5110188
LAST UPDATED 2024-02-20 07:27:49 UTC

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