JERRY W DAUBENSPECK

Controlled Substance Registration - Dentist

Indiana  12005637B   Expired

This Indiana license was held by JERRY W DAUBENSPECK. The license is no longer active. It was granted on 10/31/1986 and expired on 03/01/2004

LICENSE DETAILS

  • License Number: 12005637B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 10/31/1986 (over 38 years ago)
  • Expiry Date: 03/01/2004 (about 21 years ago)

LOCATIONS

A Address

300 S MAIN ST, JONESBORO IN 46938