License holder summary

Jacob Edward Myers is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jacob Edward Myers is 8327 Indianapolis Blvd., Highland IN 46322-1065. This licensed professional license is not current. The license was granted 07/05/2007 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Jacob Edward Myers
Controlled Substance Registration - Dentist
License number
12011031B
Date granted
07/05/2007
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
8327 Indianapolis Blvd., Highland IN 46322-1065
indianalicensing.org
ID 5100674
LAST UPDATED 2024-04-11 22:13:14 UTC

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