Indiana
Professional Licensing Agency
Lyndsey R. Hazen
Controlled Substance Registration - Dentist
License number
12011226B
Date granted
09/09/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Lake City Dental Solutions, 3505 North State Road, Warsaw IN 46582
indianalicensing.org
ID 5127190
LAST UPDATED 2024-05-03 02:53:54 UTC
LAST UPDATED 2024-05-03 02:53:54 UTC
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