Indiana
Professional Licensing Agency
Mark McLean Hall
Controlled Substance Registration - Dentist
License number
12007788B
Date granted
05/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1504 DENTAL DRIVE, BEDFORD IN 47421
indianalicensing.org
ID 5082412
LAST UPDATED 2024-02-26 09:40:26 UTC
LAST UPDATED 2024-02-26 09:40:26 UTC
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