Michael Antonia Davis

Controlled Substance Registration - Dentist

Indiana  12009113B   Active

This Indiana license is held by Michael Antonia Davis. The license is currently active. It was granted on 09/08/1989 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12009113B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 09/08/1989 (over 35 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

3231 North Meridian Suite #100, Indianapolis IN 46208-4698