Indiana
Professional Licensing Agency
Jason Tyler Stuckwisch
Controlled Substance Registration - Dentist
License number
12010383B
Date granted
07/05/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
325 NORTH WALNUT, Seymour IN 47274
indianalicensing.org
ID 5121955
LAST UPDATED 2024-04-20 13:52:18 UTC
LAST UPDATED 2024-04-20 13:52:18 UTC
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