Indiana
Professional Licensing Agency
Nathan Jerod Hawk
Controlled Substance Registration - Dentist
License number
12011185B
Date granted
06/18/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Complete Dental Care of Avon, 10740 East U.S. Highway 36, Avon IN 46123
indianalicensing.org
ID 5082035
LAST UPDATED 2024-04-09 12:14:14 UTC
LAST UPDATED 2024-04-09 12:14:14 UTC
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