Indiana
Professional Licensing Agency
Mark Willis Fulton
Controlled Substance Registration - Dentist
License number
12008901B
Date granted
06/26/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3482 STATE ROAD 9 NORTH, ANDERSON IN 46012
indianalicensing.org
ID 5080852
LAST UPDATED 2024-04-08 15:46:47 UTC
LAST UPDATED 2024-04-08 15:46:47 UTC
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