Indiana
Professional Licensing Agency
Michael Colwell
Controlled Substance Registration - Dentist
License number
12006694B
Date granted
06/30/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
8111 E. 300 South, Marion IN 46953
indianalicensing.org
ID 5110199
LAST UPDATED 2024-04-25 08:10:53 UTC
LAST UPDATED 2024-04-25 08:10:53 UTC
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