Indiana
Professional Licensing Agency
38th & Post Road, DDS, PC.
Dentistry Board - Dental Corporation
License number
54000605A
Date granted
01/11/1985
Date expires
01/31/2004
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
8909 EAST 38TH STREET, INDIANAPOLIS IN 46226
indianalicensing.org
ID 24744982
LAST UPDATED 2026-04-24 13:26:46 UTC
LAST UPDATED 2026-04-24 13:26:46 UTC
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