Indiana
Professional Licensing Agency
Jerome E. Holman, III, D.D.S.
Radiology - Radiation Facility Dental
License number
XF901058
Date granted
04/10/2003
Date expires
01/05/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
11920 Pendleton Pike, Indianapolis IN 46236-9734
indianalicensing.org
ID 24933531
LAST UPDATED 2026-04-20 23:55:02 UTC
LAST UPDATED 2026-04-20 23:55:02 UTC
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