Indiana
Professional Licensing Agency
Mark R. VanBuskirk
Controlled Substance Registration - Dentist
License number
12008157B
Date granted
07/31/1983
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
250 North Main Street, Suite 5, Crown Point IN 46307
indianalicensing.org
ID 5089021
LAST UPDATED 2024-03-20 17:18:46 UTC
LAST UPDATED 2024-03-20 17:18:46 UTC
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