License holder summary

Susan Linda Vignola is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Susan Linda Vignola is MARQUETTE MALL, 450 SAINT JOHN ROAD, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 09/02/1987 and expired on 03/01/1992.

Indiana

Professional Licensing Agency

Susan Linda Vignola
Controlled Substance Registration - Dentist
License number
12008666D
Date granted
09/02/1987
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
MARQUETTE MALL, 450 SAINT JOHN ROAD, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5111986
LAST UPDATED 2024-02-21 20:57:16 UTC

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