License holder summary

Hubert Ray Hazen is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Hubert Ray Hazen is 1329 MAIN STREET, ROCHESTER IN 46975. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Hubert Ray Hazen
Controlled Substance Registration - Dentist
License number
12007863B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1329 MAIN STREET, ROCHESTER IN 46975
indianalicensing.org
ID 5120272
LAST UPDATED 2024-02-28 20:16:18 UTC

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