Indiana
Professional Licensing Agency
Sam Wright Heltzel
Controlled Substance Registration - Dentist
License number
12006015B
Date granted
03/31/1986
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
908 Michigan Avenue, La Porte IN 46350-3505
indianalicensing.org
ID 5107234
LAST UPDATED 2024-03-03 16:41:20 UTC
LAST UPDATED 2024-03-03 16:41:20 UTC
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