Indiana
Professional Licensing Agency
General & Cosmetic Dentistry
Radiology - Radiation Facility Dental
License number
XF902661
Date granted
07/15/2005
Date expires
06/19/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
9305 Calumet Avenue, Suite C2, Munster IN 46321-2888
indianalicensing.org
ID 24934900
LAST UPDATED 2026-04-15 07:39:19 UTC
LAST UPDATED 2026-04-15 07:39:19 UTC
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