Indiana
Professional Licensing Agency
Mark William Gardner
Controlled Substance Registration - Dentist
License number
12008698B
Date granted
01/08/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Childrens Dental Care, 1239 State Road 229, Batesville IN 47006-6804
indianalicensing.org
ID 5082234
LAST UPDATED 2024-03-19 22:29:38 UTC
LAST UPDATED 2024-03-19 22:29:38 UTC
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