Indiana
Professional Licensing Agency
Lloyd Joseph Hagedorn
Controlled Substance Registration - Dentist
License number
12006297B
Date granted
03/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7750 West Jefferson Blvd., Fort Wayne IN 46804
indianalicensing.org
ID 5095264
LAST UPDATED 2024-04-17 01:52:17 UTC
LAST UPDATED 2024-04-17 01:52:17 UTC
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