License holder summary

Susan J Halt Mauk is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Susan J Halt Mauk is P O BOX 667, 1003 W TOLEDO ST, FREMONT IN 46737. This licensed professional license is current. The license was granted 09/30/1984 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Susan J Halt Mauk
Controlled Substance Registration - Dentist
License number
12008007B
Date granted
09/30/1984
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
P O BOX 667, 1003 W TOLEDO ST, FREMONT IN 46737
indianalicensing.org
ID 5097206
LAST UPDATED 2024-02-29 22:14:43 UTC

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