License holder summary

Kokomo Oral and Maxiofacial Surgery is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Kokomo Oral and Maxiofacial Surgery is 2705 South Berkley Road, Suite 4D, Kokomo IN 46902-8013. This licensed professional license is current. The license was granted 04/08/2004 and expired on 12/13/2015.

Indiana

Professional Licensing Agency

Kokomo Oral and Maxiofacial Surgery
Radiology - Radiation Facility Dental
License number
XF902730
Date granted
04/08/2004
Date expires
12/13/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
2705 South Berkley Road, Suite 4D, Kokomo IN 46902-8013
indianalicensing.org
ID 24934057
LAST UPDATED 2024-02-28 01:44:18 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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