License holder summary

John G. Blazic, D.D.S., Inc. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for John G. Blazic, D.D.S., Inc. is 1655 Hawthorne Drive, Suite F & G, Plainfield IN 46168-1868. This licensed professional license is current. The license was granted 04/30/2003 and expired on 03/28/2015.

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

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