Indiana
Professional Licensing Agency
RICHARD CLARENCE MARK
Controlled Substance Registration - Dentist
License number
12005788B
Date granted
07/31/1986
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
26195 VISTA LANE, ELKHART IN 46517
indianalicensing.org
ID 5090921
LAST UPDATED 2024-04-19 14:38:33 UTC
LAST UPDATED 2024-04-19 14:38:33 UTC
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