License holder summary

Vivian Vu Mai is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Vivian Vu Mai is DENTIST, 1824 WEST DUPONT ROAD SUITE E, Fort Wayne IN 46825. This licensed professional license is not current. The license was granted 08/27/1999 and expired on 03/01/2006.

Indiana

Professional Licensing Agency

Vivian Vu Mai
Controlled Substance Registration - Dentist
License number
12010171B
Date granted
08/27/1999
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
DENTIST, 1824 WEST DUPONT ROAD SUITE E, Fort Wayne IN 46825
indianalicensing.org
ID 5096451
LAST UPDATED 2024-02-09 03:21:15 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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