Indiana
Professional Licensing Agency
Scot Carter Mardis
Controlled Substance Registration - Dentist
License number
12008116B
Date granted
06/30/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1616 North 9th Street, Terre Haute IN 47804
indianalicensing.org
ID 5125346
LAST UPDATED 2024-03-07 05:04:52 UTC
LAST UPDATED 2024-03-07 05:04:52 UTC
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