Indiana
Professional Licensing Agency
Michael E. Borden
Controlled Substance Registration - Dentist
License number
12010987B
Date granted
07/03/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1435 North Michigan Street, Ste #4A, Plymouth IN 46563
indianalicensing.org
ID 5118945
LAST UPDATED 2024-02-10 20:23:46 UTC
LAST UPDATED 2024-02-10 20:23:46 UTC
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