License holder summary

Michael Kenneth Maze is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Kenneth Maze is 601 South Mill Street, Crawfordsville IN 47933. This licensed professional license is current. The license was granted 07/10/1991 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Michael Kenneth Maze
Controlled Substance Registration - Dentist
License number
12009364B
Date granted
07/10/1991
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
601 South Mill Street, Crawfordsville IN 47933
indianalicensing.org
ID 5088700
LAST UPDATED 2024-03-21 21:23:10 UTC

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