Indiana
Professional Licensing Agency
Jennifer Lynn Taylor
Controlled Substance Registration - Dentist
License number
12010849B
Date granted
07/14/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7524 S. Anthony Blvd., Fort Wayne IN 46815
indianalicensing.org
ID 5095064
LAST UPDATED 2024-04-15 18:11:34 UTC
LAST UPDATED 2024-04-15 18:11:34 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.