License holder summary

CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY PC is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY PC is MAXILLOFACIAL SURGERY PC, 2705 SOUTH BERKLEY RD STE A, KOKOMO IN 46902. This licensed professional license is not current. The license was granted 02/24/2000 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY PC
Dentistry Board - Dental Corporation
License number
54001194A
Date granted
02/24/2000
Date expires
01/31/2004
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
MAXILLOFACIAL SURGERY PC, 2705 SOUTH BERKLEY RD STE A, KOKOMO IN 46902
indianalicensing.org
ID 24745993
LAST UPDATED 2024-04-17 02:51:06 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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