Indiana
Professional Licensing Agency
Jack Junius Reynolds, Jr.
Controlled Substance Registration - Dentist
License number
12007171B
Date granted
03/09/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1002 Oak Drive, Richmond IN 47374
indianalicensing.org
ID 5119819
LAST UPDATED 2024-05-08 07:22:38 UTC
LAST UPDATED 2024-05-08 07:22:38 UTC
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