Indiana
Professional Licensing Agency
Larry Payne, D.D.S., P.C.
Radiology - Radiation Facility Dental
License number
XF902704
Date granted
10/19/2004
Date expires
08/27/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
605 South Wayne Street, Waterloo IN 46793-0000
indianalicensing.org
ID 24936192
LAST UPDATED 2024-04-11 20:10:41 UTC
LAST UPDATED 2024-04-11 20:10:41 UTC
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