License holder summary

DUPONT ORAL & MAXILLOFACIAL is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for DUPONT ORAL & MAXILLOFACIAL is SURGERY PC, 2121 EAST DUPONT ROAD, FORT WAYNE IN 46825. This licensed professional license is not current. The license was granted 11/12/1997 and expired on 01/31/2014.

Indiana

Professional Licensing Agency

DUPONT ORAL & MAXILLOFACIAL
Dentistry Board - Dental Corporation
License number
54001063A
Date granted
11/12/1997
Date expires
01/31/2014
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
SURGERY PC, 2121 EAST DUPONT ROAD, FORT WAYNE IN 46825
indianalicensing.org
ID 24744248
LAST UPDATED 2024-04-25 13:09:07 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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