Indiana
Professional Licensing Agency
Jessica Lynn Barry
Controlled Substance Registration - Dentist
License number
12010410B
Date granted
11/29/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
413 East Jefferson Boulevard, Fort Wayne IN 46802
indianalicensing.org
ID 5095075
LAST UPDATED 2024-04-10 19:45:13 UTC
LAST UPDATED 2024-04-10 19:45:13 UTC
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