License holder summary

Lori A. Haines is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lori A. Haines is Immediadent, 360 New Albany Plaza, New Albany IN 47150. This licensed professional license is current. The license was granted 06/16/2014 and expired on 03/01/2016.

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

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