Indiana
Professional Licensing Agency
Robert L. Malik
Controlled Substance Registration - Dentist
License number
12007493B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
817 Washington Street, Michigan City IN 46360
indianalicensing.org
ID 5111955
LAST UPDATED 2024-02-25 05:44:09 UTC
LAST UPDATED 2024-02-25 05:44:09 UTC
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