License holder summary

Michael Robert Martell is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Robert Martell is 110 BROADWAY, P O BOX 351, CEDAR LAKE IN 46303. This licensed professional license is current. The license was granted 07/02/1987 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Michael Robert Martell
Controlled Substance Registration - Dentist
License number
12008924B
Date granted
07/02/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
110 BROADWAY, P O BOX 351, CEDAR LAKE IN 46303
indianalicensing.org
ID 5086103
LAST UPDATED 2024-03-25 20:36:08 UTC

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