Indiana
Professional Licensing Agency
Jerry Rosselli
Controlled Substance Registration - Dentist
License number
12006642B
Date granted
08/31/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1600 OHIO STREET, TERRE HAUTE IN 47807
indianalicensing.org
ID 5124932
LAST UPDATED 2024-04-08 19:22:15 UTC
LAST UPDATED 2024-04-08 19:22:15 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.