Jason Ralph Crescenzo

Controlled Substance Registration - Dentist

Indiana  12011126B   Active

This Indiana license is held by Jason Ralph Crescenzo. The license is currently active. It was granted on 05/27/2008 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12011126B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 05/27/2008 (almost 17 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

N.W. Indiana Center for Dental Implants & General Dentistry, 124 E. Linoln Highway, Schererville IN 46375