Indiana
Professional Licensing Agency
Jamie Lynn Bass
Controlled Substance Registration - Dentist
License number
12011407B
Date granted
03/09/2010
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2105 Long Cove Circle, Newburgh IN 47630
indianalicensing.org
ID 5116500
LAST UPDATED 2024-02-11 14:22:52 UTC
LAST UPDATED 2024-02-11 14:22:52 UTC
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