Jeffrey Ray VanDeventer

Controlled Substance Registration - Dentist

Indiana  12009154B   Expired

This Indiana license was held by Jeffrey Ray VanDeventer. The license is no longer active. It was granted on 07/25/1989 and expired on 03/01/2000

LICENSE DETAILS

  • License Number: 12009154B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 07/25/1989 (almost 35 years ago)
  • Expiry Date: 03/01/2000 (over 24 years ago)

LOCATIONS

A Address

2911 EAST COVENANTER # B, BLOOMINGTON IN 47401