Indiana
Professional Licensing Agency
JERRY H HENDERSON JR
Controlled Substance Registration - Dentist
License number
12004782B
Date granted
06/30/1949
Date expires
03/31/1984
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3825 EUCLID AVE, EAST CHICAGO IN 46312
indianalicensing.org
ID 5090341
LAST UPDATED 2024-03-16 23:55:07 UTC
LAST UPDATED 2024-03-16 23:55:07 UTC
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