Jeffrey Ray VanDeventer

Controlled Substance Registration - Dentist

Indiana  12009154C   Active

This Indiana license is held by Jeffrey Ray VanDeventer. The license is currently active. It was granted on 03/04/2004 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12009154C
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 03/04/2004 (about 21 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

3105 Middle Road, Columbus IN 47203