Mary Therese Block
Controlled Substance Registration - Dentist
Indiana 12009454B Active
This Indiana license is held by Mary Therese Block. The license is currently active. It was granted on 09/17/1992 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009454B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 09/17/1992 (over 32 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
2507 East Poplar Drive, Bloomington IN 47401-4327
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