Mark Andrew Riese
Controlled Substance Registration - Dentist
Indiana 12009808B Active
This Indiana license is held by Mark Andrew Riese. The license is currently active. It was granted on 09/07/1995 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009808B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 09/07/1995 (over 29 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
706 North Main Street, PO Box 615, Monticello IN 47960
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