Indiana
Professional Licensing Agency
Jack E. Nicewander, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902648
Date granted
07/10/2003
Date expires
05/21/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
5511 East 82nd Street, Suite F, Indianapolis IN 46250-4515
indianalicensing.org
ID 24933516
LAST UPDATED 2024-05-06 07:25:47 UTC
LAST UPDATED 2024-05-06 07:25:47 UTC
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