Indiana
Professional Licensing Agency
Jeannie Marie Vickery
Controlled Substance Registration - Dentist
License number
12007392B
Date granted
08/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
130 Leeds Court, Zionsville IN 46077
indianalicensing.org
ID 5105424
LAST UPDATED 2024-03-21 22:25:11 UTC
LAST UPDATED 2024-03-21 22:25:11 UTC
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