Indiana
Professional Licensing Agency
Robert Todd Mabry
Controlled Substance Registration - Dentist
License number
12008592B
Date granted
07/31/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4636 West Jefferson Blvd., Fort Wayne IN 46804
indianalicensing.org
ID 5095790
LAST UPDATED 2024-02-22 11:41:18 UTC
LAST UPDATED 2024-02-22 11:41:18 UTC
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