License holder summary

Blake Campbell Hardin is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Blake Campbell Hardin is Afdent, 4041 Parnell Avenue, Fort Wayne IN 46805. This licensed professional license is current. The license was granted 06/10/2008 and expired on 03/01/2016.

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

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