License holder summary

Lisa Heth Willis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lisa Heth Willis is 1211 WEST MICHIGAN STREET, INDIANAPOLIS IN 46202. This licensed professional license is not current. The license was granted 02/21/1989 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

Lisa Heth Willis
Controlled Substance Registration - Dentist
License number
12009017B
Date granted
02/21/1989
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1211 WEST MICHIGAN STREET, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5103451
LAST UPDATED 2024-03-23 11:47:24 UTC

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