Earl Wayne Jackson
Dentist
Indiana 12005913A Revoked
This Indiana license was held by Earl Wayne Jackson. The license is no longer active. It was granted on 06/12/1962 and expired on 03/01/2012
LICENSE DETAILS
- License Number: 12005913A
- Category: Dentist
- Status: Revoked
- Date Granted: 06/12/1962 (almost 62 years ago)
- Expiry Date: 03/01/2012 (about 12 years ago)
LOCATIONS
A Address
Marion IN 46953