Indiana
Professional Licensing Agency
Mary Lynn Marshall
Controlled Substance Registration - Dentist
License number
12009677B
Date granted
03/30/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1003 West McGalliard Road, Muncie IN 47304-1768
indianalicensing.org
ID 5114195
LAST UPDATED 2024-03-13 10:29:26 UTC
LAST UPDATED 2024-03-13 10:29:26 UTC
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