Indiana
Professional Licensing Agency
Dionne Justine Hladin
Controlled Substance Registration - Dentist
License number
12009631B
Date granted
03/07/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
230 E WHITLEY STREET, P O BOX 265, CHURUBUSCO IN 46723
indianalicensing.org
ID 5086633
LAST UPDATED 2024-03-06 01:53:59 UTC
LAST UPDATED 2024-03-06 01:53:59 UTC
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