License holder summary

Jerry Robert Davis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jerry Robert Davis is 494 South Emerson Ave., Suite K, Greenwood IN 46143. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jerry Robert Davis
Controlled Substance Registration - Dentist
License number
12007595B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
494 South Emerson Ave., Suite K, Greenwood IN 46143
indianalicensing.org
ID 5099212
LAST UPDATED 2024-04-16 01:59:11 UTC

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