License holder summary

JACKSON DEAN TODD is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for JACKSON DEAN TODD is DEPT OF VET AFFAIRS MED CTR DEN CLINIC, 1700 EAST 38TH STREET, MARION IN 46953. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

JACKSON DEAN TODD
Controlled Substance Registration - Dentist
License number
12005347B
Date granted
07/31/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
DEPT OF VET AFFAIRS MED CTR DEN CLINIC, 1700 EAST 38TH STREET, MARION IN 46953
indianalicensing.org
ID 5110110
LAST UPDATED 2024-04-04 22:48:03 UTC

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