License holder summary

Mark R. Montgomery is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mark R. Montgomery is 2124 East Boulevard, Kokomo IN 46902. This licensed professional license is current. The license was granted 06/12/1982 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mark R. Montgomery
Controlled Substance Registration - Dentist
License number
12008126B
Date granted
06/12/1982
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2124 East Boulevard, Kokomo IN 46902
indianalicensing.org
ID 5106656
LAST UPDATED 2024-03-18 02:02:45 UTC

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