Indiana
Professional Licensing Agency
Timothy J. Hoftiezer
Controlled Substance Registration - Dentist
License number
12009970C
Date granted
09/05/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1610 E. Greyhound Pass, Suite B, Carmel IN 46032-5028
indianalicensing.org
ID 5085945
LAST UPDATED 2024-03-24 13:23:54 UTC
LAST UPDATED 2024-03-24 13:23:54 UTC
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