Indiana
Professional Licensing Agency
Jeffrey Lynn Bassett
Controlled Substance Registration - Dentist
License number
12008295B
Date granted
02/28/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
108 South Townline Road, Lagrange IN 46761
indianalicensing.org
ID 5108035
LAST UPDATED 2024-03-03 11:00:51 UTC
LAST UPDATED 2024-03-03 11:00:51 UTC
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