License holder summary

Dentist, P.C. is a Radiology - Radiation Machine Dental licensed to practice in Indiana. The address on file for Dentist, P.C. is Tube # - 1A, Fort Wayne IN 46818-8777. This licensed professional license is not current. The license was granted 08/18/2004 and expired on 08/19/2007.

Indiana

Professional Licensing Agency

Dentist, P.C.
Radiology - Radiation Machine Dental
License number
XM006874
Date granted
08/18/2004
Date expires
08/19/2007
Class
Radiology - Radiation Machine Dental
Status
Closed Facility
Address
Tube # - 1A, Fort Wayne IN 46818-8777
indianalicensing.org
ID 24959799
LAST UPDATED 2024-02-05 11:11:18 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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