Indiana
Professional Licensing Agency
Jaclyn Marie Rickoff
Controlled Substance Registration - Dentist
License number
12011976B
Date granted
06/04/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Carmel Dental Center, PC, 1980 E.116th St., Carmel IN 46032
indianalicensing.org
ID 5085548
LAST UPDATED 2024-01-29 02:32:49 UTC
LAST UPDATED 2024-01-29 02:32:49 UTC
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