Jason Matthew Phelps
Controlled Substance Registration - Dentist
Indiana 12010459B Expired
This Indiana license was held by Jason Matthew Phelps. The license is no longer active. It was granted on 07/25/2002 and expired on 03/01/2012
LICENSE DETAILS
- License Number: 12010459B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 07/25/2002 (almost 23 years ago)
- Expiry Date: 03/01/2012 (over 13 years ago)
LOCATIONS
A Address
12701 West County Road 500 South, Losantville IN 47354