Indiana
Professional Licensing Agency
Jill Merritt Burns
Controlled Substance Registration - Dentist
License number
12008597B
Date granted
05/02/1994
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1836 West Main, Richmond IN 47374
indianalicensing.org
ID 5119931
LAST UPDATED 2024-04-27 07:06:15 UTC
LAST UPDATED 2024-04-27 07:06:15 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.