License holder summary

Jon W. Susott is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jon W. Susott is 1251 WEST 86TH STREET #A-1, INDIANAPOLIS IN 46260. This licensed professional license is not current. The license was granted 01/12/1988 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

Jon W. Susott
Controlled Substance Registration - Dentist
License number
12008521C
Date granted
01/12/1988
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1251 WEST 86TH STREET #A-1, INDIANAPOLIS IN 46260
indianalicensing.org
ID 5103103
LAST UPDATED 2024-04-04 15:46:41 UTC

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