License holder summary

Jack Everett Goris is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jack Everett Goris is 1821 CHASE ROAD, LOGANSPORT IN 46947. This licensed professional license is current. The license was granted 06/30/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jack Everett Goris
Controlled Substance Registration - Dentist
License number
12008389B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1821 CHASE ROAD, LOGANSPORT IN 46947
indianalicensing.org
ID 5109164
LAST UPDATED 2024-04-26 04:48:37 UTC

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