Indiana
Professional Licensing Agency
Jill Marie Houston
Controlled Substance Registration - Dentist
License number
12009568B
Date granted
12/08/1993
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8853 Rockville Road, Indianapolis IN 46234
indianalicensing.org
ID 5102874
LAST UPDATED 2024-04-26 14:06:30 UTC
LAST UPDATED 2024-04-26 14:06:30 UTC
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