Indiana
Professional Licensing Agency
Jay Bennett Chilson
Controlled Substance Registration - Dentist
License number
12011390B
Date granted
02/04/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Northern Madiason County Community Health Center, 1518 Main Street, Elwood IN 46036
indianalicensing.org
ID 5091191
LAST UPDATED 2024-02-01 15:42:59 UTC
LAST UPDATED 2024-02-01 15:42:59 UTC
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