License holder summary

Converse Dental Clinic is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Converse Dental Clinic is 102 South Jefferson Street, Converse IN 46919-0317. This licensed professional license is current. The license was granted 12/17/2003 and expired on 04/25/2016.

Indiana

Professional Licensing Agency

Converse Dental Clinic
Radiology - Radiation Facility Dental
License number
XF902422
Date granted
12/17/2003
Date expires
04/25/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
102 South Jefferson Street, Converse IN 46919-0317
indianalicensing.org
ID 24931421
LAST UPDATED 2024-02-25 02:01:30 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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