Indiana
Professional Licensing Agency
Larry K. Hodge
Controlled Substance Registration - Dentist
License number
12005653B
Date granted
03/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
321 N. 22nd Street, Lafayette IN 47904
indianalicensing.org
ID 5107623
LAST UPDATED 2024-04-27 14:55:30 UTC
LAST UPDATED 2024-04-27 14:55:30 UTC
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