Indiana
Professional Licensing Agency
Robert Michael Modrowski
Controlled Substance Registration - Dentist
License number
12007638B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
PO BX 81 9495 KEILMAN, SAINT JOHN IN 46373
indianalicensing.org
ID 5120962
LAST UPDATED 2024-04-05 05:02:22 UTC
LAST UPDATED 2024-04-05 05:02:22 UTC
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