Indiana
Professional Licensing Agency
Jill Rebecca Halcarz
Controlled Substance Registration - Dentist
License number
12010445B
Date granted
07/22/2002
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1000 E 80TH PL STE 523 SOUTH TOWER, Merrillville IN 46410
indianalicensing.org
ID 5111032
LAST UPDATED 2024-04-06 18:16:44 UTC
LAST UPDATED 2024-04-06 18:16:44 UTC
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