Indiana
Professional Licensing Agency
Lori A. Haines
Controlled Substance Registration - Dentist
License number
12012137B
Date granted
06/16/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Immediadent, 360 New Albany Plaza, New Albany IN 47150
indianalicensing.org
ID 27545923
LAST UPDATED 2024-05-02 02:08:36 UTC
LAST UPDATED 2024-05-02 02:08:36 UTC
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