Indiana
Professional Licensing Agency
Dennis L. Church, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900140
Date granted
12/08/2004
Date expires
01/14/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
213 N 16th Street, Elwood IN 46036-1599
indianalicensing.org
ID 24931785
LAST UPDATED 2024-02-15 04:30:30 UTC
LAST UPDATED 2024-02-15 04:30:30 UTC
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