Indiana
Professional Licensing Agency
Jackson Creek Dental, LLC
Radiology - Radiation Facility Dental
License number
XF901303
Date granted
02/22/2005
Date expires
01/16/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1124 South College Mall, Bloomington IN 47401-6178
indianalicensing.org
ID 24930777
LAST UPDATED 2024-02-05 02:04:58 UTC
LAST UPDATED 2024-02-05 02:04:58 UTC
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