Indiana
Professional Licensing Agency
Mark David Magura
Controlled Substance Registration - Dentist
License number
12008922B
Date granted
07/15/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8001 North Broadway Street, Suite 401, Merrillville IN 46410
indianalicensing.org
ID 5111142
LAST UPDATED 2024-03-13 07:10:20 UTC
LAST UPDATED 2024-03-13 07:10:20 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.