Brent Edward Mutton
Controlled Substance Registration - Dentist
Indiana 12008127B Active
This Indiana license is held by Brent Edward Mutton. The license is currently active. It was granted on 07/31/1986 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12008127B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 07/31/1986 (over 38 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
Fort Wayne Dental Group, 7202 Engle Road, Fort Wayne IN 46804-2222
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