Indiana
Professional Licensing Agency
Family Dental Health
Radiology - Radiation Facility Dental
License number
XF901464
Date granted
09/09/2005
Date expires
08/28/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
17455 Douglas Road, South Bend IN 46635-1732
indianalicensing.org
ID 24935724
LAST UPDATED 2026-06-16 18:00:51 UTC
LAST UPDATED 2026-06-16 18:00:51 UTC
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