Blake Campbell Hardin

Controlled Substance Registration - Dentist

Indiana  12011188B   Active

This Indiana license is held by Blake Campbell Hardin. The license is currently active. It was granted on 06/10/2008 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12011188B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 06/10/2008 (almost 17 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

Afdent, 4041 Parnell Avenue, Fort Wayne IN 46805