License holder summary

Amy E. Brockman is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Amy E. Brockman is Allcare Dental, 170 Creasy Ln., Lafayette IN 47905. This licensed professional license is current. The license was granted 02/07/2007 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Amy E. Brockman
Controlled Substance Registration - Dentist
License number
12010934B
Date granted
02/07/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Allcare Dental, 170 Creasy Ln., Lafayette IN 47905
indianalicensing.org
ID 5107311
LAST UPDATED 2024-03-10 07:36:03 UTC

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