Indiana
Professional Licensing Agency
Jeffrey Ray VanDeventer
Controlled Substance Registration - Dentist
License number
12009154B
Date granted
07/25/1989
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2911 EAST COVENANTER # B, BLOOMINGTON IN 47401
indianalicensing.org
ID 5083139
LAST UPDATED 2024-03-09 05:56:43 UTC
LAST UPDATED 2024-03-09 05:56:43 UTC
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