Indiana
Professional Licensing Agency
Jerry Richard Hickman
Controlled Substance Registration - Dentist
License number
12006199B
Date granted
06/22/1965
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
8001 SHELBY STREET, INDIANAPOLIS IN 46227
indianalicensing.org
ID 5102863
LAST UPDATED 2024-02-22 19:00:37 UTC
LAST UPDATED 2024-02-22 19:00:37 UTC
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