License holder summary

Kristin M. Jackson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kristin M. Jackson is 622 North Madison Avenue, Greenwood IN 46142. This licensed professional license is current. The license was granted 06/17/1998 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Kristin M. Jackson
Controlled Substance Registration - Dentist
License number
12009767B
Date granted
06/17/1998
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
622 North Madison Avenue, Greenwood IN 46142
indianalicensing.org
ID 5099282
LAST UPDATED 2026-05-03 01:02:44 UTC

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