License holder summary

Scott W Martinsen is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Scott W Martinsen is 1011 Michican Avenue, La Porte IN 46350-3506. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Scott W Martinsen
Controlled Substance Registration - Dentist
License number
12007494B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1011 Michican Avenue, La Porte IN 46350-3506
indianalicensing.org
ID 5107294
LAST UPDATED 2024-03-28 05:07:50 UTC

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