Indiana
Professional Licensing Agency
Jason Aaron DeWitt
Controlled Substance Registration - Dentist
License number
12010545B
Date granted
05/17/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Oral Surgery Office, 2204 Scott Street, Lafayette IN 47904-2933
indianalicensing.org
ID 5107537
LAST UPDATED 2024-01-27 01:08:19 UTC
LAST UPDATED 2024-01-27 01:08:19 UTC
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