License holder summary

Michelle Mignon Lecklitner is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michelle Mignon Lecklitner is 1709 Teal Road, Lafayette IN 47905. This licensed professional license is current. The license was granted 07/21/1992 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Michelle Mignon Lecklitner
Controlled Substance Registration - Dentist
License number
12009478B
Date granted
07/21/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1709 Teal Road, Lafayette IN 47905
indianalicensing.org
ID 5107732
LAST UPDATED 2024-02-17 00:26:38 UTC

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