License holder summary

Jordan J. Balvich is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jordan J. Balvich is 129 North Van Rensselaer Street, Rensselaer IN 47978-2651. This licensed professional license is current. The license was granted 07/21/1992 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jordan J. Balvich
Controlled Substance Registration - Dentist
License number
12009450B
Date granted
07/21/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
129 North Van Rensselaer Street, Rensselaer IN 47978-2651
indianalicensing.org
ID 5119556
LAST UPDATED 2024-04-11 21:07:01 UTC

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