Indiana
Professional Licensing Agency
Jerry L. Rose, D.D.S.
Radiology - Radiation Facility Dental
License number
XF901185
Date granted
12/29/2005
Date expires
12/16/2014
Class
Radiology - Radiation Facility Dental
Status
Active
Address
8130 South Meridian Street, Indianapolis IN 46217-4960
indianalicensing.org
ID 24933533
LAST UPDATED 2026-05-17 10:58:42 UTC
LAST UPDATED 2026-05-17 10:58:42 UTC
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