SONIA JACOB ALEX - Dentist License in Indiana | # 31*****33

SONIA JACOB ALEX

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

N

First Name

SONIA

Middle

JACOB

Last Name

ALEX

Business Name

SONIA JACOB ALEX

Original Issue Date

07/19/2010

Effective Date

05/02/2024

Expiration Date

09/30/2027

State

IN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

05/02/2024