Indiana
Professional Licensing Agency
Gregory S. MacDonald, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902483
Date granted
11/19/2004
Date expires
08/21/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
552 Vale Park Road, Valparaiso IN 46383-2547
indianalicensing.org
ID 24936026
LAST UPDATED 2024-03-28 19:19:29 UTC
LAST UPDATED 2024-03-28 19:19:29 UTC
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