Indiana
Professional Licensing Agency
Jack Burk McEwan
Controlled Substance Registration - Dentist
License number
12010364B
Date granted
07/03/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3327 POTTAWATTOMIE TRAIL, Michigan City IN 46360
indianalicensing.org
ID 5111772
LAST UPDATED 2024-03-18 03:42:05 UTC
LAST UPDATED 2024-03-18 03:42:05 UTC
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