License holder summary

Douglas J. Hazel, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Douglas J. Hazel, D.D.S. is 544 Lincolnway West, Mishawaka IN 46544-1896. This licensed professional license is current. The license was granted 11/05/2003 and expired on 10/19/2015.

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

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