Indiana
Professional Licensing Agency
Jean Frances Holder
Controlled Substance Registration - Dentist
License number
12009285B
Date granted
06/12/1991
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7127 E. U.S. Hwy 36, Bainbridge IN 46105
indianalicensing.org
ID 5082187
LAST UPDATED 2024-05-11 15:10:56 UTC
LAST UPDATED 2024-05-11 15:10:56 UTC
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