Indiana
Professional Licensing Agency
JACK DAY DENISON
Controlled Substance Registration - Dentist
License number
12004816B
Date granted
01/21/1988
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
115 NORTH PENNSYLVANIA #1256, INDIANAPOLIS IN 46204
indianalicensing.org
ID 5102593
LAST UPDATED 2024-02-24 23:59:37 UTC
LAST UPDATED 2024-02-24 23:59:37 UTC
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