License holder summary

JACK LUTHER PORTZLINE is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for JACK LUTHER PORTZLINE is 13 N 16TH ST, RICHMOND IN 47374. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

JACK LUTHER PORTZLINE
Controlled Substance Registration - Dentist
License number
12005743B
Date granted
12/31/1985
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
13 N 16TH ST, RICHMOND IN 47374
indianalicensing.org
ID 5119826
LAST UPDATED 2024-04-21 19:29:56 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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