Indiana
Professional Licensing Agency
Mark Randall Pefley
Controlled Substance Registration - Dentist
License number
12009056B
Date granted
10/07/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1736 Broadway, Anderson IN 46012
indianalicensing.org
ID 5080866
LAST UPDATED 2024-02-22 20:17:11 UTC
LAST UPDATED 2024-02-22 20:17:11 UTC
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