Lloyd Joseph Hagedorn

Controlled Substance Registration - Dentist

Indiana  12006297B   Active

This Indiana license is held by Lloyd Joseph Hagedorn. The license is currently active. It was granted on 03/31/1986 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12006297B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 03/31/1986 (about 38 years ago)
  • Expiry Date: 03/01/2016 (over 8 years ago)

LOCATIONS

A Address

7750 West Jefferson Blvd., Fort Wayne IN 46804