Indiana
Professional Licensing Agency
ADOLESCENT AND PEDIATRIC DENTISTRY PC
Dentistry Board - Dental Corporation
License number
54001348A
Date granted
01/07/2003
Date expires
01/31/2004
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
610 S TILLOTSON AVENUE, Muncie IN 47304
indianalicensing.org
ID 24746809
LAST UPDATED 2024-04-07 04:43:57 UTC
LAST UPDATED 2024-04-07 04:43:57 UTC
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