Indiana
Professional Licensing Agency
C. E. Willis, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902439
Date granted
12/03/2004
Date expires
12/06/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
5938 W State Road 135, Suite D, Trafalgar IN 46181-9516
indianalicensing.org
ID 24935973
LAST UPDATED 2024-04-11 07:48:41 UTC
LAST UPDATED 2024-04-11 07:48:41 UTC
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