Indiana
Professional Licensing Agency
James S. Jansen
Controlled Substance Registration - Dentist
License number
12007950B
Date granted
10/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
230 South Main Street, Kendallville IN 46755
indianalicensing.org
ID 5105660
LAST UPDATED 2024-03-02 21:59:10 UTC
LAST UPDATED 2024-03-02 21:59:10 UTC
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