Michael L. Bagnoli
Controlled Substance Registration - Dentist
Indiana 12008541B Active
This Indiana license is held by Michael L. Bagnoli. The license is currently active. It was granted on 04/14/1988 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12008541B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 04/14/1988 (about 36 years ago)
- Expiry Date: 03/01/2016 (about 8 years ago)
LOCATIONS
A Address
OMS Center of Lafayette, 2020 Union Street, Suite 200, Lafayette IN 47904
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