Indiana
Professional Licensing Agency
John Lawrence Havlick
Controlled Substance Registration - Dentist
License number
12007779B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1302 VALE PARK ROAD, VALPARAISO IN 46383
indianalicensing.org
ID 5126090
LAST UPDATED 2024-03-27 16:56:46 UTC
LAST UPDATED 2024-03-27 16:56:46 UTC
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