License holder summary

Jeffrey Ray VanDeventer is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jeffrey Ray VanDeventer is 2911 EAST COVENANTER # B, BLOOMINGTON IN 47401. This licensed professional license is not current. The license was granted 07/25/1989 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

Jeffrey Ray VanDeventer
Controlled Substance Registration - Dentist
License number
12009154B
Date granted
07/25/1989
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2911 EAST COVENANTER # B, BLOOMINGTON IN 47401
indianalicensing.org
ID 5083139
LAST UPDATED 2024-04-26 23:45:25 UTC

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