License holder summary

Michael Douglas Rader is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Douglas Rader is 919 East Jefferson Blvd, South Bend IN 46617. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Michael Douglas Rader
Controlled Substance Registration - Dentist
License number
12007726B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
919 East Jefferson Blvd, South Bend IN 46617
indianalicensing.org
ID 5123276
LAST UPDATED 2026-05-22 01:29:57 UTC

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