Mark R. Montgomery
Controlled Substance Registration - Dentist
Indiana 12008126B Active
This Indiana license is held by Mark R. Montgomery. The license is currently active. It was granted on 06/12/1982 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12008126B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 06/12/1982 (about 43 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
2124 East Boulevard, Kokomo IN 46902
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