License holder summary

Mark E. Mallatt is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mark E. Mallatt is Indiana State Department of Health, 2 North Meridian Street, Indianapolis IN 46204. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mark E. Mallatt
Controlled Substance Registration - Dentist
License number
12007363B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Indiana State Department of Health, 2 North Meridian Street, Indianapolis IN 46204
indianalicensing.org
ID 5103496
LAST UPDATED 2024-04-30 02:24:41 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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