Angela Lynn DeHaven
Controlled Substance Registration - Dentist
Indiana 12009405B Active
This Indiana license is held by Angela Lynn DeHaven. The license is currently active. It was granted on 02/18/1992 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009405B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 02/18/1992 (over 34 years ago)
- Expiry Date: 03/01/2016 (over 10 years ago)
LOCATIONS
A Address
2206 East 10th Street, Anderson IN 46012-4313
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