Indiana
Professional Licensing Agency
Robert Anthony Jackson
Controlled Substance Registration - Dentist
License number
12011258B
Date granted
01/20/2009
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Aspen Dental, 508 North Green River Road, Evansville IN 47715
indianalicensing.org
ID 5092695
LAST UPDATED 2024-04-20 18:54:15 UTC
LAST UPDATED 2024-04-20 18:54:15 UTC
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