Indiana
Professional Licensing Agency
Gordon K. Green, D.D.S., P.C.
Radiology - Radiation Facility Dental
License number
XF902154
Date granted
06/15/2005
Date expires
01/18/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
147 East Broad Street, Lyons IN 47443-0501
indianalicensing.org
ID 24934359
LAST UPDATED 2024-03-08 08:26:59 UTC
LAST UPDATED 2024-03-08 08:26:59 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.