Indiana
Professional Licensing Agency
Shane Harmon
Controlled Substance Registration - Dentist
License number
12012138B
Date granted
05/28/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4212 East Michigan Blvd, Michigan City IN 46360
indianalicensing.org
ID 27545874
LAST UPDATED 2024-04-13 17:27:40 UTC
LAST UPDATED 2024-04-13 17:27:40 UTC
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