License holder summary

C. B. Clarke, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for C. B. Clarke, D.D.S. is 4225 West Jefferson Blvd, Fort Wayne IN 46804-6817. This licensed professional license is not current. The license was granted 06/01/1995 and expired on 10/14/1988.

Indiana

Professional Licensing Agency

C. B. Clarke, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900023
Date granted
06/01/1995
Date expires
10/14/1988
Class
Radiology - Radiation Facility Dental
Status
Closed Facility
Address
4225 West Jefferson Blvd, Fort Wayne IN 46804-6817
indianalicensing.org
ID 24932166
LAST UPDATED 2024-04-27 04:36:01 UTC

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