Indiana
Professional Licensing Agency
Dennis L. Church, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900140
Date granted
12/08/2004
Date expires
01/14/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
213 N 16th Street, Elwood IN 46036-1599
indianalicensing.org
ID 24931785
LAST UPDATED 2024-04-26 14:01:37 UTC
LAST UPDATED 2024-04-26 14:01:37 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.