License holder summary

John S. Frazee is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for John S. Frazee is Indiana State Prison, 1 Park Row ATTN Dental Clinic, Michigan City IN 46360. This licensed professional license is current. The license was granted 10/13/2004 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

John S. Frazee
Controlled Substance Registration - Dentist
License number
12010677B
Date granted
10/13/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Indiana State Prison, 1 Park Row ATTN Dental Clinic, Michigan City IN 46360
indianalicensing.org
ID 5111816
LAST UPDATED 2024-03-11 12:02:36 UTC

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