License holder summary

Michael L. Bagnoli is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael L. Bagnoli is OMS Center of Lafayette, 2020 Union Street, Suite 200, Lafayette IN 47904. This licensed professional license is current. The license was granted 04/14/1988 and expired on 03/01/2016.

Indiana

Board of Licensing

Michael L. Bagnoli
Controlled Substance Registration - Dentist
License number
12008541B
Date granted
04/14/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
OMS Center of Lafayette, 2020 Union Street, Suite 200, Lafayette IN 47904
indianalicensing.org
ID 22437760
LAST UPDATED 2021-03-01 07:21:25 UTC

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