Indiana
Professional Licensing Agency
Michael Edward Thompson
Controlled Substance Registration - Dentist
License number
12008871B
Date granted
11/09/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2801 MAPLECREST RD, FORT WAYNE IN 46835
indianalicensing.org
ID 5095413
LAST UPDATED 2024-03-03 12:31:41 UTC
LAST UPDATED 2024-03-03 12:31:41 UTC
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