Indiana
Professional Licensing Agency
GERALD A BIENEMAN D D S P C
Dentistry Board - Dental Corporation
License number
54001037A
Date granted
12/16/1996
Date expires
01/31/2000
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
5201 GRAPE ROAD, MISHAWAKA IN 46545
indianalicensing.org
ID 24746688
LAST UPDATED 2024-03-30 05:59:03 UTC
LAST UPDATED 2024-03-30 05:59:03 UTC
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