Indiana
Professional Licensing Agency
Bloomington Gentle Dentist
Radiology - Radiation Facility Dental
License number
XF900473
Date granted
02/25/2004
Date expires
02/01/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1121 West Second Street, Bloomington IN 47403-2160
indianalicensing.org
ID 24930721
LAST UPDATED 2024-02-18 09:43:01 UTC
LAST UPDATED 2024-02-18 09:43:01 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.