License holder summary

Jay Vincent Lewis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jay Vincent Lewis is 5699 EAST 71ST STREET SUITE 2A, INDIANAPOLIS IN 46220. This licensed professional license is not current. The license was granted 04/27/1987 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

Jay Vincent Lewis
Controlled Substance Registration - Dentist
License number
12008646C
Date granted
04/27/1987
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
5699 EAST 71ST STREET SUITE 2A, INDIANAPOLIS IN 46220
indianalicensing.org
ID 5102807
LAST UPDATED 2024-02-08 10:26:33 UTC

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