License holder summary

Nancy Helen Burkhardt is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Nancy Helen Burkhardt is Madison State Hospital, 711 Green Road, Madison IN 47250-2143. This licensed professional license is current. The license was granted 07/31/1995 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Nancy Helen Burkhardt
Controlled Substance Registration - Dentist
License number
12009475B
Date granted
07/31/1995
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Madison State Hospital, 711 Green Road, Madison IN 47250-2143
indianalicensing.org
ID 5109741
LAST UPDATED 2024-03-04 08:09:03 UTC

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