License holder summary

Jerry Ray Landwerlen is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jerry Ray Landwerlen is 107 JEFFERSON BOX 277, SILVER LAKE IN 46982. This licensed professional license is not current. The license was granted 04/30/1982 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

Jerry Ray Landwerlen
Controlled Substance Registration - Dentist
License number
12006397B
Date granted
04/30/1982
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
107 JEFFERSON BOX 277, SILVER LAKE IN 46982
indianalicensing.org
ID 5122519
LAST UPDATED 2024-02-27 00:21:01 UTC

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