Indiana
Professional Licensing Agency
Jennifer Ann Taube
Controlled Substance Registration - Dentist
License number
12008041B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
320 N Meridian ST #808, Indianapolis IN 46204
indianalicensing.org
ID 5102837
LAST UPDATED 2024-02-17 03:08:15 UTC
LAST UPDATED 2024-02-17 03:08:15 UTC
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