Indiana
Professional Licensing Agency
Scott Green Jacklin
Controlled Substance Registration - Dentist
License number
12006844B
Date granted
07/31/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
10445 North College, Indianapolis IN 46280
indianalicensing.org
ID 5104393
LAST UPDATED 2024-04-18 11:15:18 UTC
LAST UPDATED 2024-04-18 11:15:18 UTC
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