License holder summary

Brandon Fredrick Leickly is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Brandon Fredrick Leickly is Aspen Dental, 4758 South Scatterfield Road, Anderson IN 46013. This licensed professional license is current. The license was granted 07/16/2013 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Brandon Fredrick Leickly
Controlled Substance Registration - Dentist
License number
12012027B
Date granted
07/16/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Aspen Dental, 4758 South Scatterfield Road, Anderson IN 46013
indianalicensing.org
ID 5118555
LAST UPDATED 2024-03-06 03:57:59 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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