License holder summary

LYNETTE HAZELBAKER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for LYNETTE HAZELBAKER is LYNETTE HAZELBAKER, 4656 WEXMOOR DRIVE, KOKOMO IN 46902. This licensed professional license is current. The license was granted 08/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

LYNETTE HAZELBAKER
Controlled Substance Registration - Physician
License number
01030216B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
LYNETTE HAZELBAKER, 4656 WEXMOOR DRIVE, KOKOMO IN 46902
indianalicensing.org
ID 5876568
LAST UPDATED 2024-03-09 17:49:16 UTC

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