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
LAST UPDATED 2024-02-07 09:39:33 UTC
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