Indiana
Professional Licensing Agency
Nicole Lambert Hurcomb
Controlled Substance Registration - Dentist
License number
12010971B
Date granted
05/31/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
605 West Douglas Road, Mishawaka IN 46545
indianalicensing.org
ID 5112635
LAST UPDATED 2026-04-07 21:55:37 UTC
LAST UPDATED 2026-04-07 21:55:37 UTC
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