License holder summary

Angela Lynn DeHaven is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Angela Lynn DeHaven is 2206 East 10th Street, Anderson IN 46012-4313. This licensed professional license is current. The license was granted 02/18/1992 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Angela Lynn DeHaven
Controlled Substance Registration - Dentist
License number
12009405B
Date granted
02/18/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2206 East 10th Street, Anderson IN 46012-4313
indianalicensing.org
ID 5080524
LAST UPDATED 2024-02-07 09:39:33 UTC

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