License holder summary

Jason William Cooper is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jason William Cooper is Wadas Dental of Munster, 417 East Ridge Road, Ste. A, Munster IN 46321. This licensed professional license is current. The license was granted 06/11/2010 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jason William Cooper
Controlled Substance Registration - Dentist
License number
12011480B
Date granted
06/11/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Wadas Dental of Munster, 417 East Ridge Road, Ste. A, Munster IN 46321
indianalicensing.org
ID 5114678
LAST UPDATED 2024-03-16 09:02:31 UTC

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