License holder summary

Mary Wolfe Doornbos is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mary Wolfe Doornbos is Kid's Dentistree, 2325 Green Valley Road, Ste #1, New Albany IN 47150. This licensed professional license is not current. The license was granted 05/21/2012 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Mary Wolfe Doornbos
Controlled Substance Registration - Dentist
License number
12011787B
Date granted
05/21/2012
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Kid's Dentistree, 2325 Green Valley Road, Ste #1, New Albany IN 47150
indianalicensing.org
ID 5115473
LAST UPDATED 2024-03-20 19:43:46 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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