Indiana
Professional Licensing Agency
Indiana Dental Education & Resource Association
Dentistry Board - Ce Sponsor Dental
License number
98000504A
Date granted
12/14/2009
Date expires
03/02/2012
Class
Dentistry Board - Ce Sponsor Dental
Status
Expired
Address
4087 West Crooked Lane, Greenwood IN 46143
indianalicensing.org
ID 24741426
LAST UPDATED 2026-05-19 12:43:56 UTC
LAST UPDATED 2026-05-19 12:43:56 UTC
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