License holder summary

Jackson Creek Dental, LLC is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Jackson Creek Dental, LLC is 1124 South College Mall, Bloomington IN 47401-6178. This licensed professional license is current. The license was granted 02/22/2005 and expired on 01/16/2017.

Indiana

Professional Licensing Agency

Jackson Creek Dental, LLC
Radiology - Radiation Facility Dental
License number
XF901303
Date granted
02/22/2005
Date expires
01/16/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1124 South College Mall, Bloomington IN 47401-6178
indianalicensing.org
ID 24930777
LAST UPDATED 2024-04-24 00:22:53 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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