License holder summary

Thomas Michael Pedavoli is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Thomas Michael Pedavoli is THE DENTAL CENTER, 1245 ADAMS ROAD, GRANGER IN 46530. This licensed professional license is not current. The license was granted 03/24/1998 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

Thomas Michael Pedavoli
Controlled Substance Registration - Dentist
License number
12008862D
Date granted
03/24/1998
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
THE DENTAL CENTER, 1245 ADAMS ROAD, GRANGER IN 46530
indianalicensing.org
ID 5098518
LAST UPDATED 2024-04-28 22:31:32 UTC

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