License holder summary

Jonathan Philip Coudron is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jonathan Philip Coudron is Endodontic Associates Inc., 100200 Dupont Circle, Ste 130, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 04/16/2012 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jonathan Philip Coudron
Controlled Substance Registration - Dentist
License number
12011778B
Date granted
04/16/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Endodontic Associates Inc., 100200 Dupont Circle, Ste 130, Fort Wayne IN 46825
indianalicensing.org
ID 5095169
LAST UPDATED 2024-05-02 03:36:22 UTC

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