License holder summary

Jeanine Marie Green is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jeanine Marie Green is 1804 West Royale Drive, Muncie IN 47304-2243. This licensed professional license is current. The license was granted 07/23/1996 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jeanine Marie Green
Controlled Substance Registration - Dentist
License number
12009865B
Date granted
07/23/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1804 West Royale Drive, Muncie IN 47304-2243
indianalicensing.org
ID 5114097
LAST UPDATED 2024-03-24 17:10:38 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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