Indiana
Professional Licensing Agency
Charles M. Hanneman
Controlled Substance Registration - Dentist
License number
12007996B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
100 Mattie Harris Road, Centerville IN 47330
indianalicensing.org
ID 5086232
LAST UPDATED 2026-06-09 10:06:15 UTC
LAST UPDATED 2026-06-09 10:06:15 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.