Indiana
Professional Licensing Agency
Jack Lawrence Williams
Controlled Substance Registration - Dentist
License number
12007400B
Date granted
10/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5150 EAST STOP 11 ROAD STE 11, INDIANAPOLIS IN 46237
indianalicensing.org
ID 5102635
LAST UPDATED 2024-02-21 15:46:36 UTC
LAST UPDATED 2024-02-21 15:46:36 UTC
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