Earl W. Jackson, D.D.S.
Radiology - Radiation Facility Dental
Indiana XF900410 Revoked
This Indiana license was held by Earl W. Jackson, D.D.S.. The license is no longer active. It was granted on 01/25/2006 and expired on 01/25/2012
LICENSE DETAILS
- License Number: XF900410
- Category: Radiation Facility - Dental
- Status: Revoked
- Date Granted: 01/25/2006 (over 19 years ago)
- Expiry Date: 01/25/2012 (over 13 years ago)
LOCATIONS
A Address
3802 South Adams Street, Marion IN 46953-5058