Indiana
Professional Licensing Agency
John G. Blazic, D.D.S., Inc.
Radiology - Radiation Facility Dental
License number
XF900479
Date granted
04/30/2003
Date expires
03/28/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1655 Hawthorne Drive, Suite F & G, Plainfield IN 46168-1868
indianalicensing.org
ID 24935316
LAST UPDATED 2024-02-02 14:04:51 UTC
LAST UPDATED 2024-02-02 14:04:51 UTC
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