Indiana
Professional Licensing Agency
Blake Campbell Hardin
Controlled Substance Registration - Dentist
License number
12011188B
Date granted
06/10/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Afdent, 4041 Parnell Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5094200
LAST UPDATED 2024-02-28 00:33:57 UTC
LAST UPDATED 2024-02-28 00:33:57 UTC
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