Indiana
Professional Licensing Agency
Laura A. Hannon
Controlled Substance Registration - Dentist
License number
12007861B
Date granted
06/14/1980
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6080 Lute Road, PORTAGE IN 46368
indianalicensing.org
ID 5119148
LAST UPDATED 2024-03-18 10:59:44 UTC
LAST UPDATED 2024-03-18 10:59:44 UTC
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