Indiana
Professional Licensing Agency
Mark H. Kowal
Controlled Substance Registration - Dentist
License number
12008586B
Date granted
05/13/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
11045 Broadway Avenue, Suite C, Crown Point IN 46307
indianalicensing.org
ID 5089018
LAST UPDATED 2024-04-16 19:49:47 UTC
LAST UPDATED 2024-04-16 19:49:47 UTC
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