License holder summary

Glen S. Gardiner, D.D.S is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Glen S. Gardiner, D.D.S is 3824 South Calhoun Street, Fort Wayne IN 46807-2051. This licensed professional license is not current. The license was granted 02/06/2004 and expired on 02/12/2010.

Indiana

Professional Licensing Agency

Glen S. Gardiner, D.D.S
Radiology - Radiation Facility Dental
License number
XF900044
Date granted
02/06/2004
Date expires
02/12/2010
Class
Radiology - Radiation Facility Dental
Status
Closed Facility
Address
3824 South Calhoun Street, Fort Wayne IN 46807-2051
indianalicensing.org
ID 24932245
LAST UPDATED 2024-03-16 15:10:25 UTC

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