Indiana
Professional Licensing Agency
Ellen Rudolph Jarvis
Controlled Substance Registration - Dentist
License number
12010901B
Date granted
09/27/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
740 9th Street, Tell City IN 47586
indianalicensing.org
ID 5124536
LAST UPDATED 2024-02-27 03:23:06 UTC
LAST UPDATED 2024-02-27 03:23:06 UTC
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