License holder summary

Michael Robert Dick is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Robert Dick is Mortenson Family Dental, 1240 Veterans Parkway, Clarksville IN 47129. This licensed professional license is current. The license was granted 03/08/2012 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Michael Robert Dick
Controlled Substance Registration - Dentist
License number
12011313B
Date granted
03/08/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Mortenson Family Dental, 1240 Veterans Parkway, Clarksville IN 47129
indianalicensing.org
ID 5087111
LAST UPDATED 2024-03-19 19:14:58 UTC

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