Indiana
Professional Licensing Agency
Michelle Halum Edwards
Controlled Substance Registration - Dentist
License number
12010350B
Date granted
04/23/2003
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
9865 East 116th Street, Ste. 100, Fishers IN 46037
indianalicensing.org
ID 5093612
LAST UPDATED 2024-04-04 18:21:41 UTC
LAST UPDATED 2024-04-04 18:21:41 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.