License holder summary

Douglas J. Hazel is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Douglas J. Hazel is 544 LINCOLN WAY WEST, MISHAWAKA IN 46544. This licensed professional license is current. The license was granted 11/12/1992 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Douglas J. Hazel
Controlled Substance Registration - Dentist
License number
12006605B
Date granted
11/12/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
544 LINCOLN WAY WEST, MISHAWAKA IN 46544
indianalicensing.org
ID 5112410
LAST UPDATED 2024-03-01 11:53:17 UTC

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