Indiana
Professional Licensing Agency
Michael S. Trout
Controlled Substance Registration - Dentist
License number
12009925B
Date granted
11/08/1996
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1005 EAST LASALLE, SOUTH BEND IN 46617
indianalicensing.org
ID 5123310
LAST UPDATED 2024-03-08 00:51:45 UTC
LAST UPDATED 2024-03-08 00:51:45 UTC
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