SONIA JACOB ALEX Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

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

City

INDIANAPOLIS

State

Zip

46278

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024