Indiana
Professional Licensing Agency
Jon Tyler Vandeventer
Controlled Substance Registration - Dentist
License number
12010766B
Date granted
08/03/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8099 Rose Hill Rd., Newburgh IN 47630
indianalicensing.org
ID 5116468
LAST UPDATED 2024-03-29 06:09:37 UTC
LAST UPDATED 2024-03-29 06:09:37 UTC
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