Mallory Michalke Griffith

Controlled Substance Registration - Dentist

Indiana  12011779B   Active

This Indiana license is held by Mallory Michalke Griffith. The license is currently active. It was granted on 06/21/2012 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12011779B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 06/21/2012 (almost 13 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

Kool Smiles, 4315 Commerce Drive, Lafayette IN 47905