Indiana
Professional Licensing Agency
Mark R. Stetzel
Controlled Substance Registration - Dentist
License number
12008620B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
10010 Dupont Circle Court, Fort Wayne IN 46825-1626
indianalicensing.org
ID 5095327
LAST UPDATED 2024-02-15 18:48:16 UTC
LAST UPDATED 2024-02-15 18:48:16 UTC
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