Indiana
Professional Licensing Agency
Guy H. Fortier, D.D.S.
Radiology - Radiation Facility Dental
License number
XF901946
Date granted
12/17/2003
Date expires
09/21/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
5725 Maplecrest Road, Fort Wayne IN 46835-3838
indianalicensing.org
ID 24932252
LAST UPDATED 2024-01-31 17:32:50 UTC
LAST UPDATED 2024-01-31 17:32:50 UTC
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