Indiana
Professional Licensing Agency
Michael John Mintz
Controlled Substance Registration - Dentist
License number
12009136B
Date granted
07/14/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
934 RICHARD ROAD, DYER IN 46311
indianalicensing.org
ID 5090142
LAST UPDATED 2024-01-27 16:17:03 UTC
LAST UPDATED 2024-01-27 16:17:03 UTC
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