License holder summary

John Collins Tackett is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for John Collins Tackett is 102 North Harrison Street, Salem IN 47167. This licensed professional license is current. The license was granted 09/14/1992 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

John Collins Tackett
Controlled Substance Registration - Dentist
License number
12009512B
Date granted
09/14/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
102 North Harrison Street, Salem IN 47167
indianalicensing.org
ID 5121257
LAST UPDATED 2024-02-13 14:22:01 UTC

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