Indiana
Professional Licensing Agency
ORAL & MAXILLOFACIAL
Dentistry Board - Dental Corporation
License number
54000699A
Date granted
07/07/1987
Date expires
01/31/1990
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
SURGERY OF WARSAW PC, 600 E WINONA AVENUE #7, WARSAW IN 46580
indianalicensing.org
ID 24748212
LAST UPDATED 2024-04-14 03:57:24 UTC
LAST UPDATED 2024-04-14 03:57:24 UTC
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