License holder summary

Jason Matthew Phelps is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jason Matthew Phelps is 12701 West County Road 500 South, Losantville IN 47354. This licensed professional license is not current. The license was granted 07/25/2002 and expired on 03/01/2012.

Indiana

Professional Licensing Agency

Jason Matthew Phelps
Controlled Substance Registration - Dentist
License number
12010459B
Date granted
07/25/2002
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
12701 West County Road 500 South, Losantville IN 47354
indianalicensing.org
ID 5109365
LAST UPDATED 2024-02-13 07:40:54 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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