License holder summary

Michael Samuel Perez is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Samuel Perez is 625 Ridge Road, Suite B, Munster IN 46321. This licensed professional license is current. The license was granted 08/22/1995 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Michael Samuel Perez
Controlled Substance Registration - Dentist
License number
12009775B
Date granted
08/22/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
625 Ridge Road, Suite B, Munster IN 46321
indianalicensing.org
ID 5114960
LAST UPDATED 2024-03-15 07:13:32 UTC

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