Indiana
Professional Licensing Agency
Phillip Lee Jones
Controlled Substance Registration - Dentist
License number
12006467B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Kool Smiles, 1852 Bluffton Road, Fort Wayne IN 46809
indianalicensing.org
ID 5099852
LAST UPDATED 2024-03-17 05:49:27 UTC
LAST UPDATED 2024-03-17 05:49:27 UTC
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