License holder summary

Jennifer Autumn Neise is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jennifer Autumn Neise is 3132 West State Road 38, Pendleton IN 46064. This licensed professional license is current. The license was granted 08/18/2000 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jennifer Autumn Neise
Controlled Substance Registration - Dentist
License number
12010223B
Date granted
08/18/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3132 West State Road 38, Pendleton IN 46064
indianalicensing.org
ID 5118115
LAST UPDATED 2024-04-09 19:17:08 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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