Indiana
Professional Licensing Agency
Mike C. Bentz
Controlled Substance Registration - Dentist
License number
12008547B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
P.O. Box 317, 1248 Franklin Avenue, Brookville IN 47012
indianalicensing.org
ID 5084208
LAST UPDATED 2024-04-07 07:39:48 UTC
LAST UPDATED 2024-04-07 07:39:48 UTC
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