Indiana
Professional Licensing Agency
Mark W. Tatman, D.D.S.
Radiology - Radiation Facility Dental
License number
XF901872
Date granted
01/31/2005
Date expires
04/10/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
110 W. North Street, Portland IN 47371-1136
indianalicensing.org
ID 24935391
LAST UPDATED 2024-02-13 21:25:11 UTC
LAST UPDATED 2024-02-13 21:25:11 UTC
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