Michelle Tissot - Ebeyer
Controlled Substance Registration - Dentist
Indiana 12010147B Active
This Indiana license is held by Michelle Tissot - Ebeyer. The license is currently active. It was granted on 08/27/1999 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010147B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 08/27/1999 (almost 25 years ago)
- Expiry Date: 03/01/2016 (over 8 years ago)
LOCATIONS
A Address
973 Emerson Parkway, Suite A, Greenwood IN 46143-6907
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