Indiana
Professional Licensing Agency
Judith Ann Jennings
Controlled Substance Registration - Dentist
License number
12009442B
Date granted
10/21/1993
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
c/o Richard Byrum, 3509 North 710 West, Kokomo IN 46901-9669
indianalicensing.org
ID 5106520
LAST UPDATED 2024-04-17 09:11:36 UTC
LAST UPDATED 2024-04-17 09:11:36 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.