Indiana
Professional Licensing Agency
John Paul Jansen
Controlled Substance Registration - Dentist
License number
12011794B
Date granted
05/22/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
710 Averitt Road, Ste C, Greenwood IN 46143
indianalicensing.org
ID 5099337
LAST UPDATED 2024-04-01 15:42:04 UTC
LAST UPDATED 2024-04-01 15:42:04 UTC
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