Indiana
Professional Licensing Agency
Mark Rex Rosenthall
Controlled Substance Registration - Dentist
License number
12010065B
Date granted
08/11/1998
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
610 S TILLOTSON, Muncie IN 47304
indianalicensing.org
ID 5114193
LAST UPDATED 2024-02-02 04:24:59 UTC
LAST UPDATED 2024-02-02 04:24:59 UTC
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