Indiana
Professional Licensing Agency
Hoosier Orthodontic Forum
Dentistry Board - Ce Sponsor Dental
License number
98000583A
Date granted
03/02/2012
Date expires
03/02/2016
Class
Dentistry Board - Ce Sponsor Dental
Status
Active
Address
9602 East Washington Street, Indianapolis IN 46229
indianalicensing.org
ID 24741564
LAST UPDATED 2024-03-21 14:37:55 UTC
LAST UPDATED 2024-03-21 14:37:55 UTC
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