Edward A. Martin
Controlled Substance Registration - Dentist
Indiana 12006256B Expired
This Indiana license was held by Edward A. Martin. The license is no longer active. It was granted on 02/28/1986 and expired on 03/01/1996
LICENSE DETAILS
- License Number: 12006256B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 02/28/1986 (about 39 years ago)
- Expiry Date: 03/01/1996 (about 29 years ago)
LOCATIONS
A Address
2646 LOIS STREET, PORTAGE IN 46368