Douglas Alan Jansen
Controlled Substance Registration - Dentist
Indiana 12009669B Active
This Indiana license is held by Douglas Alan Jansen. The license is currently active. It was granted on 08/31/1994 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009669B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 08/31/1994 (over 30 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
230 South Main Street, Kendallville IN 46755-1718
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