License holder summary

Melissa Diane Maze is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Melissa Diane Maze is 307-311 BEN HUR BLDG, CRAWFORDSVILLE IN 47933. This licensed professional license is not current. The license was granted 07/11/1991 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

Melissa Diane Maze
Controlled Substance Registration - Dentist
License number
12009156C
Date granted
07/11/1991
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
307-311 BEN HUR BLDG, CRAWFORDSVILLE IN 47933
indianalicensing.org
ID 5088665
LAST UPDATED 2024-03-05 05:56:48 UTC

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