Indiana
Professional Licensing Agency
Elizabeth Ann Hagerty
Controlled Substance Registration - Dentist
License number
12010549B
Date granted
06/24/2003
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
101 East Tenth Street, Greensburg IN 47240
indianalicensing.org
ID 5098879
LAST UPDATED 2024-02-26 20:22:11 UTC
LAST UPDATED 2024-02-26 20:22:11 UTC
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