Indiana
Professional Licensing Agency
Theodore F. Mager, Jr.
Controlled Substance Registration - Dentist
License number
12006621B
Date granted
01/31/1986
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
50805 Summit Hill Court, Granger IN 46530
indianalicensing.org
ID 5098495
LAST UPDATED 2024-04-01 09:07:40 UTC
LAST UPDATED 2024-04-01 09:07:40 UTC
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