Indiana
Professional Licensing Agency
Marvin Preston Eady, Jr.
Controlled Substance Registration - Dentist
License number
12009115B
Date granted
07/27/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4646 W. Jefferson Blvd, Suite 140, Fort Wayne IN 46804
indianalicensing.org
ID 5095333
LAST UPDATED 2024-04-06 05:37:34 UTC
LAST UPDATED 2024-04-06 05:37:34 UTC
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