RICHARD CLARENCE MARK
Controlled Substance Registration - Dentist
Indiana 12005788B Expired
This Indiana license was held by RICHARD CLARENCE MARK. The license is no longer active. It was granted on 07/31/1986 and expired on 03/01/2002
LICENSE DETAILS
- License Number: 12005788B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 07/31/1986 (over 38 years ago)
- Expiry Date: 03/01/2002 (about 23 years ago)
LOCATIONS
A Address
26195 VISTA LANE, ELKHART IN 46517