License holder summary

Maie Shabana is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Maie Shabana is Children's Dental Clinic of Gary LLC, 3506 Village Court, Gary IN 46408. This licensed professional license is not current. The license was granted 02/07/2012 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Maie Shabana
Controlled Substance Registration - Dentist
License number
12011765B
Date granted
02/07/2012
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Children's Dental Clinic of Gary LLC, 3506 Village Court, Gary IN 46408
indianalicensing.org
ID 5097599
LAST UPDATED 2024-03-02 06:36:12 UTC

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