License holder summary

David Robert Jordan is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for David Robert Jordan is 1724 BROAD RIPPLE AVENUE, INDIANAPOLIS IN 46220. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 07/31/1986.

Indiana

Professional Licensing Agency

David Robert Jordan
Controlled Substance Registration - Dentist
License number
12006453B
Date granted
07/31/1986
Date expires
07/31/1986
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1724 BROAD RIPPLE AVENUE, INDIANAPOLIS IN 46220
indianalicensing.org
ID 5102070
LAST UPDATED 2024-04-03 17:53:47 UTC

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