Mark Broomhead

Controlled Substance Registration - Dentist

Indiana  12012069B   Active

This Indiana license is held by Mark Broomhead. The license is currently active. It was granted on 02/12/2014 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12012069B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 02/12/2014 (over 10 years ago)
  • Expiry Date: 03/01/2016 (over 8 years ago)

LOCATIONS

A Address

Compton Dental Center, 901 Fran Lin Pkwy, Munster IN 46321