Indiana
Professional Licensing Agency
Lisa Kay Hagler Menefee
Controlled Substance Registration - Dentist
License number
12010591B
Date granted
11/03/2003
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
420 N. West St., Odon IN 47562
indianalicensing.org
ID 5117340
LAST UPDATED 2024-04-02 05:35:49 UTC
LAST UPDATED 2024-04-02 05:35:49 UTC
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