Melissa Diane Maze

Controlled Substance Registration - Dentist

Indiana  12009156C   Expired

This Indiana license was held by Melissa Diane Maze. The license is no longer active. It was granted on 07/11/1991 and expired on 03/01/2002

LICENSE DETAILS

  • License Number: 12009156C
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 07/11/1991 (almost 34 years ago)
  • Expiry Date: 03/01/2002 (about 23 years ago)

LOCATIONS

A Address

307-311 BEN HUR BLDG, CRAWFORDSVILLE IN 47933