Indiana
Professional Licensing Agency
Robert Mark Grace
Controlled Substance Registration - Dentist
License number
12007607B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
218 Edgewood Lane, La Porte IN 46350
indianalicensing.org
ID 5107219
LAST UPDATED 2024-04-27 01:50:37 UTC
LAST UPDATED 2024-04-27 01:50:37 UTC
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