Indiana
Professional Licensing Agency
Mark Joseph Mihalo
Controlled Substance Registration - Dentist
License number
12008927B
Date granted
06/30/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1339 W State Road 2, La Porte IN 46350
indianalicensing.org
ID 5107162
LAST UPDATED 2024-03-31 13:51:36 UTC
LAST UPDATED 2024-03-31 13:51:36 UTC
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