Philip Michael Montefalco
Controlled Substance Registration - Dentist
Indiana 12009521C Expired
This Indiana license was held by Philip Michael Montefalco. The license is no longer active. It was granted on 08/11/1993 and expired on 03/01/2014
LICENSE DETAILS
- License Number: 12009521C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 08/11/1993 (almost 31 years ago)
- Expiry Date: 03/01/2014 (over 10 years ago)
LOCATIONS
A Address
Greenwood Oral & Maxillofacial Surgery, 1630 West Smith Valley Road, Greenwood IN 46142