Indiana
Professional Licensing Agency
John C. Tackett, D.M.D.
Radiology - Radiation Facility Dental
License number
XF901780
Date granted
10/26/2005
Date expires
09/08/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
102 North Harrison Street, Salem IN 47167-2280
indianalicensing.org
ID 24935553
LAST UPDATED 2024-03-23 07:02:29 UTC
LAST UPDATED 2024-03-23 07:02:29 UTC
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