Indiana
Professional Licensing Agency
Michael R. Gradeless
Controlled Substance Registration - Dentist
License number
12007941B
Date granted
10/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
10100 Lantern Rd., Suite 100, Fishers IN 46037
indianalicensing.org
ID 5093608
LAST UPDATED 2024-03-05 15:14:11 UTC
LAST UPDATED 2024-03-05 15:14:11 UTC
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