License holder summary

JACK CONRAD CROUSE is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for JACK CONRAD CROUSE is 615 ANDERSON BANK BLDG, ANDERSON IN 46012. This licensed professional license is not current. The license was granted 11/30/1984 and expired on 03/01/1988.

Indiana

Professional Licensing Agency

JACK CONRAD CROUSE
Controlled Substance Registration - Dentist
License number
12005203B
Date granted
11/30/1984
Date expires
03/01/1988
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
615 ANDERSON BANK BLDG, ANDERSON IN 46012
indianalicensing.org
ID 5080712
LAST UPDATED 2024-05-02 13:46:47 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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