Jon Stephen Michael
Controlled Substance Registration - Dentist
Indiana 12006026B Expired
This Indiana license was held by Jon Stephen Michael. The license is no longer active. It was granted on 02/28/1983 and expired on 03/01/2002
LICENSE DETAILS
- License Number: 12006026B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 02/28/1983 (over 42 years ago)
- Expiry Date: 03/01/2002 (over 23 years ago)
LOCATIONS
A Address
928 ROBINSON STREET, WEST LAFAYETTE IN 47906