License holder summary

Hyo Seon Lee is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Hyo Seon Lee is Destiny Dental, 1738 165th Street, Hammond IN 46320. This licensed professional license is not current. The license was granted 09/14/2012 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Hyo Seon Lee
Controlled Substance Registration - Dentist
License number
12011849B
Date granted
09/14/2012
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Destiny Dental, 1738 165th Street, Hammond IN 46320
indianalicensing.org
ID 5099910
LAST UPDATED 2024-03-24 04:50:38 UTC

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