Indiana
Professional Licensing Agency
Green Family Dentistry, P.C.
Dentistry Board - Dental Corporation
License number
54000879A
Date granted
10/21/1994
Date expires
01/31/2004
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
2201 Lincolnway West, South Bend IN 46628
indianalicensing.org
ID 24747797
LAST UPDATED 2024-02-24 16:44:59 UTC
LAST UPDATED 2024-02-24 16:44:59 UTC
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