License holder summary

Adam Richard Hertig is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Adam Richard Hertig is Shambaugh Family Dentistry, 4341 Flagstaff Cove, Fort Wayne IN 46815. This licensed professional license is current. The license was granted 08/16/2013 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Adam Richard Hertig
Controlled Substance Registration - Dentist
License number
12011943B
Date granted
08/16/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Shambaugh Family Dentistry, 4341 Flagstaff Cove, Fort Wayne IN 46815
indianalicensing.org
ID 5094086
LAST UPDATED 2024-02-02 12:49:08 UTC

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