Indiana
Professional Licensing Agency
Chad Owen Hazelrigg
Controlled Substance Registration - Dentist
License number
12010157C
Date granted
07/23/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
128 Lakeview Drive, Noblesville IN 46060-1307
indianalicensing.org
ID 5116668
LAST UPDATED 2024-02-14 16:11:58 UTC
LAST UPDATED 2024-02-14 16:11:58 UTC
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