Indiana
Professional Licensing Agency
Marianne Emily Hafele
Controlled Substance Registration - Dentist
License number
12010580B
Date granted
09/09/2003
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2441 State St., New Albany IN 47150
indianalicensing.org
ID 5115445
LAST UPDATED 2024-03-13 21:26:00 UTC
LAST UPDATED 2024-03-13 21:26:00 UTC
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