Indiana
Professional Licensing Agency
Jon Erick Erickson
Controlled Substance Registration - Dentist
License number
12010220B
Date granted
11/16/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
P.O. Box 486, 23 South Co. Rd. 200 E., Suite B, Danville IN 46122
indianalicensing.org
ID 5089255
LAST UPDATED 2024-04-10 06:16:41 UTC
LAST UPDATED 2024-04-10 06:16:41 UTC
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