Jonathan Philip Coudron

Controlled Substance Registration - Dentist

Indiana  12011778B   Active

This Indiana license is held by Jonathan Philip Coudron. The license is currently active. It was granted on 04/16/2012 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12011778B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 04/16/2012 (about 13 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

Endodontic Associates Inc., 100200 Dupont Circle, Ste 130, Fort Wayne IN 46825