Indiana
Professional Licensing Agency
Jess Lee Holler
Controlled Substance Registration - Dentist
License number
12007999B
Date granted
08/31/1984
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1024 Lafayette Avenue, Terre Haute IN 47804
indianalicensing.org
ID 5124935
LAST UPDATED 2024-02-05 06:39:30 UTC
LAST UPDATED 2024-02-05 06:39:30 UTC
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