License holder summary

JACK EARL ANDERSON is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for JACK EARL ANDERSON is 400 SOUTH 6TH STREET, VINCENNES IN 47591. This licensed professional license is not current. The license was granted 11/30/1984 and expired on 03/01/1996.

Indiana

Professional Licensing Agency

JACK EARL ANDERSON
Controlled Substance Registration - Dentist
License number
12005352B
Date granted
11/30/1984
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
400 SOUTH 6TH STREET, VINCENNES IN 47591
indianalicensing.org
ID 5126641
LAST UPDATED 2024-02-12 08:47:14 UTC

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