License holder summary

MIichael Robert Mitsos is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for MIichael Robert Mitsos is 310 Ridge Road, Munster IN 46321-1528. This licensed professional license is current. The license was granted 03/19/2002 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

MIichael Robert Mitsos
Controlled Substance Registration - Dentist
License number
12010241B
Date granted
03/19/2002
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
310 Ridge Road, Munster IN 46321-1528
indianalicensing.org
ID 5114923
LAST UPDATED 2024-04-27 10:31:22 UTC

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