Indiana
Professional Licensing Agency
Jack Lee Altekruse
Controlled Substance Registration - Dentist
License number
12006683B
Date granted
11/30/1984
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
550 West Virginia Street, Evansville IN 47710
indianalicensing.org
ID 5091975
LAST UPDATED 2024-02-18 17:18:29 UTC
LAST UPDATED 2024-02-18 17:18:29 UTC
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