License holder summary

Paul T. Jansen is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Paul T. Jansen is PO Box 252, 710 Averitt Road, Suite C, Greenwood IN 46143. This licensed professional license is current. The license was granted 06/20/1978 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Paul T. Jansen
Controlled Substance Registration - Dentist
License number
12007614B
Date granted
06/20/1978
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
PO Box 252, 710 Averitt Road, Suite C, Greenwood IN 46143
indianalicensing.org
ID 5099405
LAST UPDATED 2024-01-31 10:58:27 UTC

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