License holder summary

Mary Therese Block is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mary Therese Block is 2507 East Poplar Drive, Bloomington IN 47401-4327. This licensed professional license is current. The license was granted 09/17/1992 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mary Therese Block
Controlled Substance Registration - Dentist
License number
12009454B
Date granted
09/17/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2507 East Poplar Drive, Bloomington IN 47401-4327
indianalicensing.org
ID 5083336
LAST UPDATED 2024-04-26 01:30:31 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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