Brett Anthony Henrikson
Controlled Substance Registration - Dentist
Indiana 12010155B Active
This Indiana license is held by Brett Anthony Henrikson. The license is currently active. It was granted on 04/13/2004 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010155B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 04/13/2004 (about 20 years ago)
- Expiry Date: 03/01/2016 (about 8 years ago)
LOCATIONS
A Address
Lafayette Oral & Maxillofacial Surgery Group P.C., 953 Park East Boulevard Suite A, Lafayette IN 47905-4878
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