Indiana
Professional Licensing Agency
Nathaniel Hayes Hall
Controlled Substance Registration - Dentist
License number
12010828B
Date granted
05/30/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Wells/Marvel P.C., 829 Plaza Dr., Martinsville IN 46151
indianalicensing.org
ID 5110362
LAST UPDATED 2024-03-14 21:48:40 UTC
LAST UPDATED 2024-03-14 21:48:40 UTC
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