Indiana
Professional Licensing Agency
Michael Antonia Davis
Controlled Substance Registration - Dentist
License number
12009113B
Date granted
09/08/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3231 North Meridian Suite #100, Indianapolis IN 46208-4698
indianalicensing.org
ID 5103580
LAST UPDATED 2024-03-12 05:46:45 UTC
LAST UPDATED 2024-03-12 05:46:45 UTC
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