License holder summary

Portage Dental Rehab Center is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Portage Dental Rehab Center is 6044 Lute Road, Portage IN 46368-5008. This licensed professional license is current. The license was granted 08/30/2004 and expired on 06/06/2016.

Indiana

Professional Licensing Agency

Portage Dental Rehab Center
Radiology - Radiation Facility Dental
License number
XF900633
Date granted
08/30/2004
Date expires
06/06/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
6044 Lute Road, Portage IN 46368-5008
indianalicensing.org
ID 24935380
LAST UPDATED 2024-04-25 10:10:02 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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