License holder summary

Joseph Lee Jackson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Joseph Lee Jackson is Bloomington Pediatric Dentistry, 477Landmark Avenue, Bloomington IN 47403. This licensed professional license is not current. The license was granted 12/19/2011 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Joseph Lee Jackson
Controlled Substance Registration - Dentist
License number
12011562B
Date granted
12/19/2011
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Bloomington Pediatric Dentistry, 477Landmark Avenue, Bloomington IN 47403
indianalicensing.org
ID 5083212
LAST UPDATED 2024-02-25 14:12:32 UTC

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