License holder summary

JOHN W SKINNER is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for JOHN W SKINNER is 1321 NORTH BROOKFIELD STREET, SOUTH BEND IN 46628. This licensed professional license is not current. The license was granted 01/31/1981 and expired on 01/31/1982.

Indiana

Professional Licensing Agency

JOHN W SKINNER
Controlled Substance Registration - Dentist
License number
12004658B
Date granted
01/31/1981
Date expires
01/31/1982
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1321 NORTH BROOKFIELD STREET, SOUTH BEND IN 46628
indianalicensing.org
ID 5123127
LAST UPDATED 2024-03-31 16:51:33 UTC

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