License holder summary

John Russell Phelps is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for John Russell Phelps is 8902 North Meridian Street, Suite 139, Indianapolis IN 46260. This licensed professional license is current. The license was granted 11/08/1993 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

John Russell Phelps
Controlled Substance Registration - Dentist
License number
12009486B
Date granted
11/08/1993
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8902 North Meridian Street, Suite 139, Indianapolis IN 46260
indianalicensing.org
ID 5103029
LAST UPDATED 2024-03-17 05:17:26 UTC

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