License holder summary

JACK PHILIP MOLLENKOPF is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for JACK PHILIP MOLLENKOPF is 601 LAFAYETTE LIFE BLDG, LAFAYETTE IN 47901. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

JACK PHILIP MOLLENKOPF
Controlled Substance Registration - Dentist
License number
12005880B
Date granted
02/28/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
601 LAFAYETTE LIFE BLDG, LAFAYETTE IN 47901
indianalicensing.org
ID 5107535
LAST UPDATED 2024-04-04 09:07:53 UTC

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

Reviews

Are you familiar with JACK PHILIP MOLLENKOPF's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending