Indiana
Professional Licensing Agency
Jean R. Williams
Controlled Substance Registration - Dentist
License number
12006636B
Date granted
07/14/1989
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
P O BOX 1099, 116 WALTER REMLEY DRIVE, CRAWFORDSVILLE IN 47933
indianalicensing.org
ID 5088644
LAST UPDATED 2024-02-28 04:13:35 UTC
LAST UPDATED 2024-02-28 04:13:35 UTC
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