Indiana
Professional Licensing Agency
Michael B. Gasko
Controlled Substance Registration - Dentist
License number
12007239B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
225 N NOTRE DAME AVE, SOUTH BEND IN 46617
indianalicensing.org
ID 5123272
LAST UPDATED 2024-04-12 19:35:25 UTC
LAST UPDATED 2024-04-12 19:35:25 UTC
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