Indiana
Professional Licensing Agency
Douglas Alan Jansen
Controlled Substance Registration - Dentist
License number
12009669B
Date granted
08/31/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
230 South Main Street, Kendallville IN 46755-1718
indianalicensing.org
ID 5105652
LAST UPDATED 2024-04-11 22:19:40 UTC
LAST UPDATED 2024-04-11 22:19:40 UTC
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