License holder summary

Fort Wayne Developmental Center-Dental is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Fort Wayne Developmental Center-Dental is 4900 St. Joe Road, Fort Wayne IN 46832-3299. This licensed professional license is not current. The license was granted 05/19/2003 and expired on 05/23/2009.

Indiana

Professional Licensing Agency

Fort Wayne Developmental Center-Dental
Radiology - Radiation Facility Dental
License number
XF901467
Date granted
05/19/2003
Date expires
05/23/2009
Class
Radiology - Radiation Facility Dental
Status
Expired
Address
4900 St. Joe Road, Fort Wayne IN 46832-3299
indianalicensing.org
ID 24932218
LAST UPDATED 2024-03-29 18:45:57 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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