License holder summary

John R. Davidson, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for John R. Davidson, D.D.S. is 27 North Park Avenue, Peru IN 46970-1799. This licensed professional license is not current. The license was granted 10/05/2000 and expired on 03/19/2004.

Indiana

Professional Licensing Agency

John R. Davidson, D.D.S.
Radiology - Radiation Facility Dental
License number
XF901273
Date granted
10/05/2000
Date expires
03/19/2004
Class
Radiology - Radiation Facility Dental
Status
Closed Facility
Address
27 North Park Avenue, Peru IN 46970-1799
indianalicensing.org
ID 24935277
LAST UPDATED 2024-03-29 19:19:23 UTC

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