License holder summary

Todd Andrew Hickman is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Todd Andrew Hickman is 8001 Shelby Street, Indianapolis IN 46227-5970. This licensed professional license is current. The license was granted 02/25/1999 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Todd Andrew Hickman
Controlled Substance Registration - Dentist
License number
12009869B
Date granted
02/25/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8001 Shelby Street, Indianapolis IN 46227-5970
indianalicensing.org
ID 5104734
LAST UPDATED 2024-04-19 05:25:05 UTC

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