Indiana
Professional Licensing Agency
Brian Shields, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900572
Date granted
02/23/2004
Date expires
02/19/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
520 8th Avenue Northeast, DeMotte IN 46310-9511
indianalicensing.org
ID 24931614
LAST UPDATED 2024-04-11 05:21:42 UTC
LAST UPDATED 2024-04-11 05:21:42 UTC
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