License holder summary

Jaymi Lee Stivason is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jaymi Lee Stivason is Muncie Plaza Dental Center, 1130 East Princeton Avenue, Muncie IN 47303. This licensed professional license is not current. The license was granted 05/12/2009 and expired on 03/01/2012.

Indiana

Professional Licensing Agency

Jaymi Lee Stivason
Controlled Substance Registration - Dentist
License number
12011281B
Date granted
05/12/2009
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Muncie Plaza Dental Center, 1130 East Princeton Avenue, Muncie IN 47303
indianalicensing.org
ID 5114091
LAST UPDATED 2024-03-03 05:02:36 UTC

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