License holder summary

David Van Wormer, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for David Van Wormer, D.D.S. is 312 North Lake Street, Warsaw IN 46580-2643. This licensed professional license is current. The license was granted 11/18/2003 and expired on 06/11/2015.

Indiana

Professional Licensing Agency

David Van Wormer, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900637
Date granted
11/18/2003
Date expires
06/11/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
312 North Lake Street, Warsaw IN 46580-2643
indianalicensing.org
ID 24936154
LAST UPDATED 2024-02-17 01:15:42 UTC

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