License holder summary

Mark Robert Detert is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mark Robert Detert is 919 South State Road 2, Hebron IN 46341. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mark Robert Detert
Controlled Substance Registration - Dentist
License number
12007849B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
919 South State Road 2, Hebron IN 46341
indianalicensing.org
ID 5100395
LAST UPDATED 2024-02-02 14:25:46 UTC

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