License holder summary

Thomas Richard Magnetti is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Thomas Richard Magnetti is 2646 P LOIS STREET, PORTAGE IN 46368. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

Thomas Richard Magnetti
Controlled Substance Registration - Dentist
License number
12006513B
Date granted
02/28/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2646 P LOIS STREET, PORTAGE IN 46368
indianalicensing.org
ID 5119212
LAST UPDATED 2024-02-27 02:04:30 UTC

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