Melissa Diane Maze
Controlled Substance Registration - Dentist
Indiana 12009156B Expired
This Indiana license was held by Melissa Diane Maze. The license is no longer active. It was granted on 09/28/1989 and expired on 03/01/2002
LICENSE DETAILS
- License Number: 12009156B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 09/28/1989 (over 35 years ago)
- Expiry Date: 03/01/2002 (over 23 years ago)
LOCATIONS
A Address
P O BOX 143, 109 SOUTH VINE STREET, GREENCASTLE IN 46135