License holder summary

JERROLD ANTHONY BAKER is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for JERROLD ANTHONY BAKER is BOX 313, SEELYVILLE IN 47878. This licensed professional license is not current. The license was granted 05/31/1985 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

JERROLD ANTHONY BAKER
Controlled Substance Registration - Dentist
License number
12005380B
Date granted
05/31/1985
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
BOX 313, SEELYVILLE IN 47878
indianalicensing.org
ID 5121740
LAST UPDATED 2024-04-01 05:55:33 UTC

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