Indiana
Professional Licensing Agency
Anthony DiCostanzo, D.D.S.
Radiology - Radiation Facility Dental
License number
XF901973
Date granted
11/28/2005
Date expires
08/14/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1123 Joliet Street, Dyer IN 46311-1926
indianalicensing.org
ID 24931648
LAST UPDATED 2024-03-31 17:36:57 UTC
LAST UPDATED 2024-03-31 17:36:57 UTC
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