License holder summary

Gwendolyn A. Edmondson, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Gwendolyn A. Edmondson, D.D.S. is 6221 Covington Road, Fort Wayne IN 46804-7311. This licensed professional license is current. The license was granted 06/10/2004 and expired on 04/15/2016.

Indiana

Professional Licensing Agency

Gwendolyn A. Edmondson, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900102
Date granted
06/10/2004
Date expires
04/15/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
6221 Covington Road, Fort Wayne IN 46804-7311
indianalicensing.org
ID 24932253
LAST UPDATED 2024-03-21 11:02:07 UTC

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