License holder summary

Glenn J. Wisnieski, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Glenn J. Wisnieski, D.D.S. is 409 Roosevelt Road, Walkerton IN 46574-1215. This licensed professional license is current. The license was granted 09/03/2004 and expired on 08/23/2016.

Indiana

Professional Licensing Agency

Glenn J. Wisnieski, D.D.S.
Radiology - Radiation Facility Dental
License number
XF901539
Date granted
09/03/2004
Date expires
08/23/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
409 Roosevelt Road, Walkerton IN 46574-1215
indianalicensing.org
ID 24936143
LAST UPDATED 2024-04-12 07:31:16 UTC

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