Indiana
Professional Licensing Agency
FEV, PC
Dentistry Board - Dental Corporation
License number
54001668A
Date granted
02/12/2010
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
15340 Naughton Lane, Fortville IN 46040
indianalicensing.org
ID 24744417
LAST UPDATED 2026-06-30 16:01:48 UTC
LAST UPDATED 2026-06-30 16:01:48 UTC
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