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
LAST UPDATED 2024-03-15 21:22:19 UTC
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