License holder summary

Montgomery Wayne Marvel is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Montgomery Wayne Marvel is 829 PLAZA DRIVE, MARTINSVILLE IN 46151. This licensed professional license is current. The license was granted 07/11/1990 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Montgomery Wayne Marvel
Controlled Substance Registration - Dentist
License number
12009250B
Date granted
07/11/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
829 PLAZA DRIVE, MARTINSVILLE IN 46151
indianalicensing.org
ID 5110358
LAST UPDATED 2024-03-15 21:22:19 UTC

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