JERROLD ANTHONY BAKER
Controlled Substance Registration - Dentist
Indiana 12005380B Expired
This Indiana license was held by JERROLD ANTHONY BAKER. The license is no longer active. It was granted on 05/31/1985 and expired on 03/01/2000
LICENSE DETAILS
- License Number: 12005380B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 05/31/1985 (about 40 years ago)
- Expiry Date: 03/01/2000 (over 25 years ago)
LOCATIONS
A Address
BOX 313, SEELYVILLE IN 47878