License holder summary

Heather Jeanne Cleven Hicks is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Heather Jeanne Cleven Hicks is 4321 College Street, P.O. Box 276, Woodburn IN 46797. This licensed professional license is current. The license was granted 02/10/1994 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Heather Jeanne Cleven Hicks
Controlled Substance Registration - Dentist
License number
12009632B
Date granted
02/10/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4321 College Street, P.O. Box 276, Woodburn IN 46797
indianalicensing.org
ID 5128651
LAST UPDATED 2026-06-19 11:58:22 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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