Paul T. Jansen

Controlled Substance Registration - Dentist

Indiana  12007614B   Active

This Indiana license is held by Paul T. Jansen. The license is currently active. It was granted on 06/20/1978 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12007614B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 06/20/1978 (almost 46 years ago)
  • Expiry Date: 03/01/2016 (over 8 years ago)

LOCATIONS

A Address

PO Box 252, 710 Averitt Road, Suite C, Greenwood IN 46143