Indiana
Professional Licensing Agency
Jay Robert Leone
Controlled Substance Registration - Dentist
License number
12010632B
Date granted
06/29/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1020 West Oak St., Zionsville IN 46077
indianalicensing.org
ID 5128984
LAST UPDATED 2024-03-04 16:11:31 UTC
LAST UPDATED 2024-03-04 16:11:31 UTC
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