Indiana
Professional Licensing Agency
Isaiah Thomas Jernberg
Controlled Substance Registration - Dentist
License number
12012105B
Date granted
05/20/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
820 W. Main Street, Farmersburg IN 47850
indianalicensing.org
ID 27545550
LAST UPDATED 2024-03-04 01:07:54 UTC
LAST UPDATED 2024-03-04 01:07:54 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.