License holder summary

Douglas Whitehead, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Douglas Whitehead, D.D.S. is 2120 North 850 West, Shipshewana IN 46565-0848. This licensed professional license is current. The license was granted 10/26/2005 and expired on 09/25/2017.

Indiana

Professional Licensing Agency

Douglas Whitehead, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900646
Date granted
10/26/2005
Date expires
09/25/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
2120 North 850 West, Shipshewana IN 46565-0848
indianalicensing.org
ID 24935703
LAST UPDATED 2024-03-27 10:06:17 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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