Indiana
Professional Licensing Agency
Charles D. Coburn, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900675
Date granted
09/01/2005
Date expires
09/01/2008
Class
Radiology - Radiation Facility Dental
Status
Closed Facility
Address
8695 Conneticut Street, Merrillville IN 46410-6240
indianalicensing.org
ID 24934507
LAST UPDATED 2024-03-17 22:51:27 UTC
LAST UPDATED 2024-03-17 22:51:27 UTC
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