Indiana
Professional Licensing Agency
Shawn Donovan Mucho
Controlled Substance Registration - Dentist
License number
12009679B
Date granted
12/01/1994
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
106 SYCAMORE STREET, NORTH JUDSON IN 46366
indianalicensing.org
ID 5117015
LAST UPDATED 2024-01-23 16:04:44 UTC
LAST UPDATED 2024-01-23 16:04:44 UTC
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