Indiana
Professional Licensing Agency
Basel Hajjar
Controlled Substance Registration - Dentist
License number
12010711C
Date granted
07/07/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Oral Surgery Group, 1140 South Calumet Road, Suite 1, Chesterton IN 46304
indianalicensing.org
ID 5086447
LAST UPDATED 2026-04-12 08:41:57 UTC
LAST UPDATED 2026-04-12 08:41:57 UTC
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