License holder summary

Jenna Marie Davies is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jenna Marie Davies is Birchwood Family Dental, 1375 S. Lebanon Street, Suite 200, Lebanon IN 46052. This licensed professional license is current. The license was granted 08/06/2013 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jenna Marie Davies
Controlled Substance Registration - Dentist
License number
12012035B
Date granted
08/06/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Birchwood Family Dental, 1375 S. Lebanon Street, Suite 200, Lebanon IN 46052
indianalicensing.org
ID 5108622
LAST UPDATED 2024-04-22 09:28:55 UTC

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