Indiana
Professional Licensing Agency
Indianapolis Oral and Maxillofacial
Dentistry Board - Dental Corporation
License number
54000801A
Date granted
05/27/1992
Date expires
01/31/1998
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
Surgery, P.C., 3021 East 98th Street, Suite 250, Indianapolis IN 46280
indianalicensing.org
ID 24745358
LAST UPDATED 2024-04-23 09:19:07 UTC
LAST UPDATED 2024-04-23 09:19:07 UTC
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