License holder summary

Earl Wayne Jackson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Earl Wayne Jackson is 5960 South Meridian, Marion IN 46953. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 03/01/2012.

Indiana

Professional Licensing Agency

Earl Wayne Jackson
Controlled Substance Registration - Dentist
License number
12005913B
Date granted
07/31/1986
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
5960 South Meridian, Marion IN 46953
indianalicensing.org
ID 5110036
LAST UPDATED 2024-04-07 17:53:42 UTC

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