Indiana
Professional Licensing Agency
KOKOMO ORAL & MAXIL SURGERY PC
Dentistry Board - Dental Corporation
License number
54000720A
Date granted
02/24/1988
Date expires
01/31/1996
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
2705 SOUTH BERKLEY RD #4 D, KOKOMO IN 46902
indianalicensing.org
ID 24746036
LAST UPDATED 2024-03-16 14:39:27 UTC
LAST UPDATED 2024-03-16 14:39:27 UTC
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