Indiana
Professional Licensing Agency
Jason Ralph Crescenzo
Controlled Substance Registration - Dentist
License number
12011126B
Date granted
05/27/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
N.W. Indiana Center for Dental Implants & General Dentistry, 124 E. Linoln Highway, Schererville IN 46375
indianalicensing.org
ID 5121350
LAST UPDATED 2024-02-17 04:32:52 UTC
LAST UPDATED 2024-02-17 04:32:52 UTC
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