License holder summary

Brett Anthony Henrikson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Brett Anthony Henrikson is Lafayette Oral & Maxillofacial Surgery Group P.C., 953 Park East Boulevard Suite A, Lafayette IN 47905-4878. This licensed professional license is current. The license was granted 04/13/2004 and expired on 03/01/2016.

Indiana

Board of Licensing

Brett Anthony Henrikson
Controlled Substance Registration - Dentist
License number
12010155B
Date granted
04/13/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Lafayette Oral & Maxillofacial Surgery Group P.C., 953 Park East Boulevard Suite A, Lafayette IN 47905-4878
indianalicensing.org
ID 22437760
LAST UPDATED 2020-12-08 06:08:22 UTC

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