License holder summary

Jada M. Roberts is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jada M. Roberts is Three Rivers Family Dental, 2828 E. State Blvd. Suite B, Fort Wayne IN 46805. This licensed professional license is current. The license was granted 07/11/2014 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jada M. Roberts
Controlled Substance Registration - Dentist
License number
12012082B
Date granted
07/11/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Three Rivers Family Dental, 2828 E. State Blvd. Suite B, Fort Wayne IN 46805
indianalicensing.org
ID 27545580
LAST UPDATED 2024-04-20 10:20:37 UTC

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