Indiana
Professional Licensing Agency
Douglas J. Hazel, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902119
Date granted
11/05/2003
Date expires
10/19/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
544 Lincolnway West, Mishawaka IN 46544-1896
indianalicensing.org
ID 24934667
LAST UPDATED 2024-03-25 15:02:38 UTC
LAST UPDATED 2024-03-25 15:02:38 UTC
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