Indiana
Professional Licensing Agency
C & P Oral Maxillofacial, P.C.
Dentistry Board - Dental Corporation
License number
54001378A
Date granted
10/07/2003
Date expires
01/31/2010
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
1970 W. Boulevard Street, Kokomo IN 46902
indianalicensing.org
ID 24745985
LAST UPDATED 2024-03-02 18:03:04 UTC
LAST UPDATED 2024-03-02 18:03:04 UTC
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