Indiana
Professional Licensing Agency
Terrance Patrick Mahoney
Controlled Substance Registration - Dentist
License number
12008169B
Date granted
11/13/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
17901 Turner Drive, South Bend IN 46635
indianalicensing.org
ID 5123640
LAST UPDATED 2024-04-10 20:32:06 UTC
LAST UPDATED 2024-04-10 20:32:06 UTC
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