Indiana
Professional Licensing Agency
Jack E. Goris, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900181
Date granted
08/01/2000
Date expires
09/13/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1821 Chase Road, Logansport IN 46947-1200
indianalicensing.org
ID 24934339
LAST UPDATED 2024-03-05 03:50:31 UTC
LAST UPDATED 2024-03-05 03:50:31 UTC
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