Indiana
Professional Licensing Agency
Relaxed Dentistry
Radiology - Radiation Facility Dental
License number
XF902308
Date granted
08/14/2003
Date expires
07/18/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
5943 Central Avenue, Portage IN 46368-2946
indianalicensing.org
ID 24935382
LAST UPDATED 2024-03-28 12:13:31 UTC
LAST UPDATED 2024-03-28 12:13:31 UTC
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