Indiana
Professional Licensing Agency
T. Harold Martin
Controlled Substance Registration - Dentist
License number
12006060B
Date granted
02/28/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6204 Charlestown Pike, Charlestown IN 47111
indianalicensing.org
ID 5086350
LAST UPDATED 2024-02-03 19:21:18 UTC
LAST UPDATED 2024-02-03 19:21:18 UTC
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