Indiana
Professional Licensing Agency
John Stephen Jorczak
Controlled Substance Registration - Dentist
License number
12009240B
Date granted
06/28/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
38 NORTH 23RD STREET, Lafayette IN 47904
indianalicensing.org
ID 5107598
LAST UPDATED 2024-04-09 14:50:40 UTC
LAST UPDATED 2024-04-09 14:50:40 UTC
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