License holder summary

Jeffrey Laurence Hodge is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jeffrey Laurence Hodge is 321 N. 22nd Street, Lafayette IN 47904-2601. This licensed professional license is current. The license was granted 11/30/1984 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jeffrey Laurence Hodge
Controlled Substance Registration - Dentist
License number
12008643B
Date granted
11/30/1984
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
321 N. 22nd Street, Lafayette IN 47904-2601
indianalicensing.org
ID 5107555
LAST UPDATED 2024-02-05 16:47:39 UTC

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