License holder summary

Jason Tyler Stuckwisch is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jason Tyler Stuckwisch is 325 NORTH WALNUT, Seymour IN 47274. This licensed professional license is current. The license was granted 07/05/2001 and expired on 03/01/2016.

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

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