Indiana
Professional Licensing Agency
Jefferson Lamar Newbern, IV
Controlled Substance Registration - Dentist
License number
12011559B
Date granted
03/14/2011
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Aspen Dental, 116 Veterans Parkway, Clarksville IN 47129
indianalicensing.org
ID 5086930
LAST UPDATED 2024-04-25 09:10:28 UTC
LAST UPDATED 2024-04-25 09:10:28 UTC
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