Indiana
Professional Licensing Agency
DCP of Indiana (Greenwood Park), P.C.
Dentistry Board - Dental Corporation
License number
54001387A
Date granted
12/09/2003
Date expires
01/31/2008
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
1251 U.S. Highway 31 North, Greenwood IN 46142
indianalicensing.org
ID 24744723
LAST UPDATED 2026-05-04 11:25:59 UTC
LAST UPDATED 2026-05-04 11:25:59 UTC
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