Indiana
Professional Licensing Agency
Emery J. Spisak, Jr., D.D.S. General Dentistry
Radiology - Radiation Facility Dental
License number
XF900103
Date granted
08/27/2003
Date expires
06/12/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1320 Medical Park Drive, Fort Wayne IN 46825-5883
indianalicensing.org
ID 24932200
LAST UPDATED 2024-02-22 04:46:20 UTC
LAST UPDATED 2024-02-22 04:46:20 UTC
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