License holder summary

James A. Shupe, D.D.S./ Dentistry for Children, Inc. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for James A. Shupe, D.D.S./ Dentistry for Children, Inc. is 3030 Lake Avenue, Fort Wayne IN 46805-5428. This licensed professional license is current. The license was granted 04/01/2004 and expired on 02/22/2016.

Indiana

Professional Licensing Agency

James A. Shupe, D.D.S./ Dentistry for Children, Inc.
Radiology - Radiation Facility Dental
License number
XF900100
Date granted
04/01/2004
Date expires
02/22/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
3030 Lake Avenue, Fort Wayne IN 46805-5428
indianalicensing.org
ID 24932267
LAST UPDATED 2024-04-14 21:50:24 UTC

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