License holder summary

Scott Green Jacklin is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Scott Green Jacklin is 10445 North College, Indianapolis IN 46280. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 03/01/2014.

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

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