License holder summary

Glenbrook Family Dentistry is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Glenbrook Family Dentistry is 435 W. Coliseum Blvd, Fort Wayne IN 46805-1010. This licensed professional license is current. The license was granted 05/21/2007 and expired on 04/28/2017.

Indiana

Professional Licensing Agency

Glenbrook Family Dentistry
Radiology - Radiation Facility Dental
License number
XF903134
Date granted
05/21/2007
Date expires
04/28/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
435 W. Coliseum Blvd, Fort Wayne IN 46805-1010
indianalicensing.org
ID 24932247
LAST UPDATED 2024-04-27 03:30:32 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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