License holder summary

Kelly Andrew Jastremski is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kelly Andrew Jastremski is 1550 South Liberty Drive, Bloomington IN 47403-5167. This licensed professional license is current. The license was granted 09/01/1994 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Kelly Andrew Jastremski
Controlled Substance Registration - Dentist
License number
12009671B
Date granted
09/01/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1550 South Liberty Drive, Bloomington IN 47403-5167
indianalicensing.org
ID 5083247
LAST UPDATED 2024-02-06 16:42:44 UTC

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